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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GATEWAY REHABILITATION CENTER - WAYNESBURG
350 BONAR AVENUE, 4TH FLOOR
WAYNESBURG, PA 15370

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Survey conducted on 02/24/2023

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on February 24, 2023, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Greenbriar Treatment Center - Waynesburg was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
 
Plan of Correction

705.6 (3)  LICENSURE Bathrooms.

705.6. Bathrooms. The residential facility shall: (3) Have hot and cold water under pressure. Hot water temperature may not exceed 120F.
Observations
Based on a physical plant inspection on February 24, 2023, the facility failed to ensure that the water temperature did not exceed 120 degrees Fahrenheit.

The water from the sink outside of the bathroom in client room 408 was tested by thermometer and produced a result of 124 degrees Fahrenheit.



These findings were reviewed with facility staff during the licensing process.
 
Plan of Correction
Upon testing by DDAP auditor testing water temp, Environmental Services at the Hospital was contacted. Temperature was turned down but stated it would take 6 hours to register.



The program director will randomly test hot water temperatures daily in 5 rooms for 90 days to ensure 120 degrees Fahrenheit or below.



Hot water temperatures shall be recorded on a Hot Water Temperature Log.



If hot water temperatures exceed 120 degrees Fahrenheit, Environmental Services at the Hospital will be notified immediately to correct the hot water temperature.



Once we have reached 90 days of hot water temperatures of 120 degrees Fahrenheit or below, the program director will audit hot water temperatures monthly in 5 random rooms.



Responsible person: Program Director

Target completion date: 3/21/23

 
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