INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 22 - 24, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Clear Choices, LLC 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 observation during a physical plant inspection, the facility failed to ensure that exits from the nonresidential facility were unobstructed and operable at all times.
The findings include:
A physical plant inspection was conducted with the facility director on July 23, 2014 at approximately 2:45 PM. The main entrance of the building has two glass doors that were observed to have double keyed deadbolt locks. These glass doors are posted as an emergency exit. The double keyed deadbolt locks would prevent these exit doors from being operable at all times. The facility failed to ensure that exits from the nonresidential facility were unobstructed and operable at all times.
The facility director was interviewed on July 23, 2014 and confirmed the findings.
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Plan of Correction
Facility Director had new thumb lock plates installed to replace the inner deadbolt lock to ensure that anyone could exit from the building at any time. Installation was completed on Tuesday 7/30/14. |