INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 17, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 35896701 79 Blueridge. Llc was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.30(b)(1) LICENSURE Safety and emergency procedures - Exits
§ 717.30. Safety and emergency procedures.
(b) Exits. The licensee shall:
(1) Ensure that stairways, hallways and exits from rooms and from the drug and alcohol recovery house are unobstructed.
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Observations
Based on the physical plant inspection the recovery house failed to maintain a minimum of two unobstructed exits that are separated by a minimum distance of 15 feet on every floor that contains resident bedrooms. Equipment such as ladders and escapes located above the ground floor must be securely affixed to the house. Rooms, including resident bedrooms, that contain an exit must be unlocked and accessible to all residents in the event of an emergency.
Findings:
The bedroom window with the fire escape ladder on the second floor was obstructed by a air conditioner.
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Plan of Correction
8/14/2024: On 7/16/2024 air conditioner was removed from fire ladder window and placed in adjacent window of bedroom without fire ladder. Manager will make sure all fire ladder windows remain unobstructed at all times. |
§ 717.30(d)(3) LICENSURE Safety and emergency procedures -Extinguisher
§ 717.30. Safety and emergency procedures.
(d) Fire extinguishers. The licensee shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection must be indicated on the extinguisher or inspection tag; the licensee shall replace or repair a fire extinguisher found to be inoperable within 48 hours.
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Observations
Based on the physical plant inspection the recovery house failed to maintain a minimum of two unobstructed exits that are separated by a minimum distance of 15 feet on every floor that contains resident bedrooms. Equipment such as ladders and escapes located above the ground floor must be securely affixed to the house. Rooms, including resident bedrooms, that contain an exit must be unlocked and accessible to all residents in the event of an emergency.
Findings:
The bedroom window with the fire escape ladder was obstructed by a bed and inaccessible.
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Plan of Correction
8/14/2024: On 7/16/2024 bed was moved away from fire ladder window and manager will ensure fire ladder window remains unobstructed at all times. |