INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on January 23, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Livengrin Foundation 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 (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 an inspection of the facility's physical plant, the facility failed to ensure fire extinguishers are inspected and approved annually by a local fire department or fire extinguisher company.
The findings include:
A physical plant inspection was conducted on January 23, 2014 at 2:27 PM. During the inspection it was found that three of the fire extinguishers on the first floor did not have an inspection tag from a local fire department or fire extinguisher company. Furthermore, the tags on the extinguishers were hand-written and noted that the unit was last inspected in November 2012.
The fire extinguisher in classroom #4 was last inspected in March 2009.
The program director was present during the inspection and confirmed the findings.
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Plan of Correction
The program manager of the langhorne location will contact the local fire extinguisher company to have all extinguishers checked and re-tagged as operational. The program manager will conduct monthly "on-site" inspections and document in the fire drill log to ensure that all fire extinguishers are properly tagged and up to date throughout the year. |