INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on June 26, 2024 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Resources for Human Development 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:
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Plan of Correction
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705.7 (b) (5) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(5) Keep cold food at or below 40F, hot food at or above 140F, and frozen food at or below 0F.
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Observations
Based on a review of the facilities physical plant, the facility failed to ensure that cold foods were kept at or below 40 degrees Fahrenheit.
The refrigerator located in the facility ' s kitchen had a thermometer that read 52 degrees Fahrenheit.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Building maintenance came to the unit to check on the refrigeration to ensure it was properly functioning. Program Director purchased new thermometers for inside of the refrigerator immediately. Life skills staff check and log the temperature of the refrigerator daily based on the internal thermometer. Any temperatures indicated over 40 degrees Fahrenheit are to be immediately reported to the on call program and maintenance phones to ensure it is promptly addressed. |
709.34 (c) (4) LICENSURE Reporting of unusual incidents
§ 709.34. Reporting of unusual incidents.
(c) To the extent permitted by State and Federal confidentiality laws, the project shall file a written unusual incident report with the Department within 3 business days following an unusual incident involving:
(4) Event at the facility requiring the presence of police, fire or ambulance personnel.
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Observations
Based on a review of client records and staff interview, the facility failed to inform the Department of an unusual incident within the required three days.
The facility had an unusual incident occur on February 6, 2024 which involved an event at the facility requiring the presence of fire personnel. The facility had not submitted a written unusual incident report to the Department.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
Effective immediately Program Director has access to the electronic portal for unusual incident reporting. Program Director was made aware of all incidents which are required to be reported and will follow the procedure. Fire drill reports are to be turned in immediately to Program Director, and if the fire department is indicated to have been onsite Program Director will complete the electronic reporting form. |