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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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THE RETREAT AT WHITE BIRCH
25 RESERVOIR STREET
CARBONDALE, PA 18407

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Survey conducted on 01/29/2015

INITIAL COMMENTS
 
This report is a result of an initial on-site licensing inspection conducted on January 29, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, The Retreat at White Birch 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:
 
Plan of Correction

705.2 (2)  LICENSURE Building exterior and grounds.

705.2. Building exterior and grounds. The residential facility shall: (2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
Observations
Based on observation and the physical plant inspection, the facility failed to keep the grounds of the facility clean, safe, sanitary, and in good repair at all times for the safety and well-being of residents, employees, and visitors.



The findings include:



The physical plant inspection was conducted on January 29, 2015 between 12:00pm to 1:00pm. During the inspection of the interior building, the Licensing Specialist observed that Bedroom #322 had a broken window and upon closer inspection of the window, the screen was ripped as well. While doing the inspection of the outside of the facility, the Licensing Specialist observed Bedrooms 216 and 217 also had broken windows. Additionally, Bedroom 216 had a ripped/torn screen.





These findings were reviewed with facility staff during the licensing process

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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.

 
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