INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 17,2014, by staff from the Department of Drug and Alcohol Programs, Program Licensure Division. Based on the findings of the on-site inspection, Twin Lakes Center, 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
Based on an observation during the physical plant inspection, the facility failed to ensure that exits from the nonresidential facility were unobstructed.
The findings include:
A physical plant inspection was conducted on July 17, 2014 at approximately 11:50 AM. The rear exit of the building was blocked by trash cans.
The finds were confirmed by the outpatient supervisor.
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Plan of Correction
The Outpatient Supervisor and all office staff will make sure that the exits are not blocked by anything each time that use the exits. MSH staff will check the exits weekly. The trash can was removed immediately following the inspection on 7/17/14 by the Outpatient Supervisor. |