D&A Facility Surveys

Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA, INC. FOUNTAIN SPRINGS
95 BROAD STREET
ASHLAND, PA 17921

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Survey conducted on 10/25/2023

INITIAL COMMENTS
This report is a result of an on-site complaint investigation conducted on October 25, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Gaudenzia, Inc. Fountain Springs was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.	Plan of Correction
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.
Observations Based on a physical plant inspection conducted on October 25, 2023, the facility failed to maintain each bathroom in a clean and sanitary manner at all times. The second-floor bathroom has 1 bathtub and one shower stall to the left of the entrance that have a black like substance in the caulking. The third-floor bathroom has one shower stall to the right of the entrance with a black like substance on the floor and caulking.	Plan of Correction Maintenance will remove and replace sealant by 11/17/23. Bathrooms will be cleaned daily. Bathrooms will be monitored daily and documented on the daily run sheet completed by RSP staff. Any issues found will be reported to the Program Director promptly, who will notify maintenance of any issues that need to be addressed. Bathrooms will be monitored during monthly safety inspections conducted by RSP Supervisor. Any issues will be reported to maintenance to be addressed. CQI manager will complete a facility inspection during quarterly program audits. Any issues will be reported to the Program Director to be addressed.