INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 31 through June 2, 2206 by staff from the Division of Drug and Alcohol Program Licensure. Deficiencies were identified during this inspection and a plan of correction is by June 29, 2006.
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Plan of Correction
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705.6 (5) LICENSURE Bathrooms.
705.6. Bathrooms.
The residential facility shall:
(5) Ventilate toilet and wash rooms by exhaust fan or window.
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Observations
The exhaust fan in the female shower room and bath room was not operable during the physical plant tour conducted on June 1, 2006.
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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. |
705.7 (b) (5) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(5) Keep cold food at or below 40F, hot food at or above 140F, and frozen food at or below 0F.
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Observations
The organization is not recording food service temperatures for food prepared off site.
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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. |
705.10 (d) (6) LICENSURE Fire safety.
705.10. Fire safety.
(d) Fire drills. The residential facility shall:
(6) Prepare alternate exit routes to be used during fire drills.
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Observations
The organization failed to document exit routes utilized during the fire drills.
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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. |
709.22(e)(3) LICENSURE Governing Body
709.22. Governing body.
(e) If a facility is publicly funded, the governing body shall make available to the public an annual report which includes, but is not limited to:
(3) A statement disclosing the names of officers, directors and principal shareholders, where applicable.
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Observations
The annual report for period ending July 30, 2005 failed to include a statement disclosing the names of officers, directors and principal shareholders.
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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. |
709.28(c) LICENSURE Confidentiality
709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to:
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Observations
In clinical charts reviewed, authorizations to release information include a signature and date line for parents, guardians and authorized representatives. Only the person to whom the information pertains can consent to the release of information.
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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. |