INITIAL COMMENTS
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This report is a result of an initial on-site licensure inspection conducted on March 23, 2016 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, McDermott Counseling LLC 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.
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Plan of Correction
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705.21 (2) LICENSURE General req. for nonresidential facilities.
705.21. General requirements for nonresidential facilities.
The nonresidential facility shall:
(2) Have a certificate of occupancy from the Department of Labor and Industry or its local equivalent.
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Observations
Based on the review of the application material and a physical plant inspection, the facilty failed to have a certificate of occupancy from the Department of Labor and Industry or its local equivalent.
The findings included:
A physical plant inspection was conducted on March 23, 2016. The facility failed to obtain a certificate of occupancy from the Department of Labor and Industry or its local equivalent.
These findings were reviewed with facility staff during the initial inspection.
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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. |
705.28 (a) (1) (iv) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(iv) Clearly indicate exits by the use of signs.
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Observations
Based on a physical plant inspection, the facility failed to clearly indicate exits by the use of signs.
The finding include:
A physical plant inspection was completed on March 23, 2016. At the time of the inspection, no exit signs were posted above the exit doors.
These findings were reviewed with facility staff during the initial inspection.
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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. |
705.28 (c) (3) LICENSURE Fire safety.
705.28. Fire safety.
(c) Fire extinguishers. The nonresidential facility shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection shall be indicated on the extinguisher or inspection tag. If a fire extinguisher is found to be inoperable, it shall be replaced or repaired within 48 hours of the time it was found to be inoperable.
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Observations
Based on a physical plant inspection, the facility failed to ensure that the fire extinguishers were inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection shall be indicated on the extinguisher or inspection tag.
The findings include:
A physical plant inspection was conducted on March 23, 2016. The fire extinguisher did not have a tag on it documenting that it was inspected by the local fire department or fire extiguisher company or the date of the inspection.
These findings were reviewed with facility staff during the initial inspection.
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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. |
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
Based on a physical plant inspection, the facility failed to display the hours of project operation conspicuously to the general public.
The findings include:
A physical plant inspection was conducted on March 23, 2016. The project's hours of operation were not conspicuously displayed to the general public.
These findings were reviewed with facility staff during the initial inspection.
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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. |
709.42(e) LICENSURE Display of operation hours
709.42. Project management.
(e) The hours of operation shall be displayed conspicuously to the general public.
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Observations
Based on a physical plant inspection, the facility failed to display the hours of project operation conspicuously to the general public.
The findings include:
A physical plant inspection was conducted on March 23, 2016. The project's hours of operation were not conspicuously displayed to the general public.
These findings were reviewed with facility staff during the initial inspection.
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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. |