INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on February 17, 2016 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, Two Roads Counseling Services Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
The following deficiencies were identified.
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Plan of Correction
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705.28 (a) (1) (iii) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iii) Maintain each ramp, interior stairway and outside steps exceeding two steps with a well-secured handrail and maintain each porch that has over an 18 inch drop with a well-secured railing.
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Observations
Based on a physical plant inspection, the facility failed to have a well-secured handrail on the interior stairway leading to an exit.
The finding include:
A physical plant inspection was completed on February 17, 2016. At the time of the inspection, there are five steps on an interior stairway leading to an exit that did not have a well-secured handrail.
These findings were reviewed with the facility staff during the physical plant inspection.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |