INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on June 6, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 0EZ46701 Women and Children Bridge House was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.29(b)(1) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(1) Keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
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Observations
Based on review of the physical plant inspection the recovery house failed to keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times. Findings:There is trash outside of the door leading to the side street that makes use of this door hazardous. There is furniture, broken drawers and bathroom light covers over the sink that need replaced in resident apartment. These findings were reviewed with the recovery house staff during the licensing process
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Plan of Correction
The trash outside of the door leading to the side street was picked up by a tenant as part of her assigned chore. The area is now free of any debris and use of this door is no longer hazardous. The House Manager will check the area on a weekly basis to ensure this area is free from trash and debris. Broken furniture was disposed of by maintenance and the broken drawers were repaired by maintenance and the bathroom light covers over the sink were either replaced or the entire light was replaced by maintenance. The House Manager is responsible for checking for broken items and reporting them to maintenance who is responsible for their repair or replacement. This work was completed on 6/18/24. |
§ 717.30(c)(1)(i) LICENSURE Safety and emergency procedures - Detectors
§ 717.30. Safety and emergency procedures.
(c) Smoke and carbon monoxide detectors.
(1) The licensee shall:
(i) Maintain at least one operable, automatic smoke detector on each floor, including the basement and attic.
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Observations
Based on review of the physical plant inspection the recovery house failed to repair inoperable smoke detectors within 48 hours. These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The batteries in the beeping smoke detectors were replaced by maintenance, allowing them to continue operating correctly in the event of a power outage. The House Manager is responsible for reporting beeping smoke detectors to maintenance who is responsible for replacing batteries on a timely basis to ensure this deficiency does not recur. This work was completed on 6/10/24. |
§ 717.30(d)(2) LICENSURE Safety and emergency procedures -Extinguisher
§ 717.30. Safety and emergency procedures.
(d) Fire extinguishers. The licensee shall:
(2) Maintain at least one portable fire extinguisher with a minimum of an ABC rating in each kitchen in addition to the fire extinguishers required under paragraph (1) . The extinguisher in the kitchen must be located near an exit and away from the cooking area.
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Observations
Based on review of the physical plant inspection the recovery house failed to keep the extinguisher in the kitchen away from the cooking area.These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Maintenance moved the fire extinguisher further from the cooking area in the kitchen and re-attached it to the wall. The House Manager will be responsible to ensure that fire extinguisher remains properly attached to the wall and is not in the cooking area. This was completed on 6/11/24. |
§ 717.30(d)(3) LICENSURE Safety and emergency procedures -Extinguisher
§ 717.30. Safety and emergency procedures.
(d) Fire extinguishers. The licensee shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection must be indicated on the extinguisher or inspection tag; the licensee shall replace or repair a fire extinguisher found to be inoperable within 48 hours.
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Observations
Based on a review of the physical plant inspection the recovery house failed to have fire extinguishers inspected and approved annually by the local fire department or fire extinguisher company. Findings:Fire extinguishers located in the resident apartments have not been inspected annually. These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Kistler O'Brien Fire Protection company inspected the fire extinguishers located in the individual residents' apartments, completing this work on 6/10/2024. Maintenance is responsible to schedule the work to ensure that all fire extinguishers, including ones located in each apartment are inspected annually by a fire protection company. This is now included in the annual maintenance plan for the building to ensure this deficiency does not recur. |