INITIAL COMMENTS
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This report is a result of an on-site, physical plant inspection, due to the expansion of the existing facility, conducted on February 7, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Based on the findings of the on-site inspection, Gaudenzia Erie Inc 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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705.28 (a) (1) (i) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(i) Ensure that stairways, hallways and exits from rooms and from the nonresidential facility are unobstructed.
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Observations
The facility failed to ensure exits are unobstructed. The egress from the group room exited into another licensed facility's waiting area which would activate an alarm while the other facility staff is not on-site.
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Plan of Correction
The previous second means of egress was moved to an alternate unobstructed exit. All light signs were removed and placed over the new exit location by the Director of Operations. Previous exit is no longer in use. |
709.94(b) LICENSURE Project management services
709.94. Project management services.
(b) The hours of project operation shall be displayed conspicuously to the general public.
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Observations
The facility failed to display the project hours of operation to the general public.
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Plan of Correction
Hours of the program will posted on the external entrance to the building by the Program Director. |
709.94(c) LICENSURE Project management services
709.94. Project management services.
(c) A telephone number shall be displayed conspicuously to the general public for emergency purposes.
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Observations
The facility failed to display the telephone number for emergency purposes to the general public.
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Plan of Correction
The phone number will be posted on the external entrance to the building by the Program Director. |