INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 9-10, 2019, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Gaudenzia Erie, Inc. /Daniel Snow House 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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704.9(b) LICENSURE Performance evaluation
704.9. Supervision of counselor assistant.
(b) Performance evaluation. The counselor assistant shall be given a written semiannual performance evaluation based upon measurable performance standards. If the individual does not meet the standards at the time of evaluation, the counselor assistant shall remain in this status until the supervised period set forth in subsection (c) is completed and a satisfactory rating is received from the counselor assistant's supervisor.
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Observations
Based on a review of facility records conducted during the on-site inspection, the facility failed to ensure that its counselor assistants received the required performance evaluations.
Staff Person #4 was promoted to a counselor assistant on January 21, 2019. At the time of the on-site inspection, the facility was unable to provide written documentation that a performance evaluation was completed on the staff person.
These findings were reviewed with facility staff as part of the licensing process.
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Plan of Correction
Division Director will review requirements of performance evaluation completion for counselor assistant with the Program Director by 10/28/2019.
Program Director will complete performance evaluation with the counselor assistant by 11/07/2019.
A performance evaluation will be completed with counselor assistants every six months until the counselor assistant meets the criteria for a counselor position. |
705.6 (7) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(7) Maintain each bathroom in a functional, clean and sanitary manner at all times.
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Observations
Based on the physical plant inspection conducted on October 10, 2019, the facility failed to maintain each bathroom in a functional manner at all times.
There was a toilet paper dispenser that had broken off of the wall and was in need of repair in the second floor men's room.
These findings were reviewed with facility staff as part of the licensing process.
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Plan of Correction
Program Director will complete a work order to have the toilet paper dispenser replaced and installed in the second floor men's bathroom. this work order will be completed by 10/22/2019.
Operations Manager will have the toilet paper dispenser replaced and installed by 10/25/2019.
Program Director will complete daily facility runs to ensure facility is safe and in operable condition. Program Director will submit work orders for any items needing repair as needed. |