INITIAL COMMENTS
|
This report is a result of an on-site complaint investigation conducted on August 31, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site complaint investigation, Samara House of CYWA was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
|
Plan of Correction
|
705.2 (2) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
|
Observations
Based on a physical plant inspection, the residential facility failed to keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors.
The findings include:
A physical plant inspection was conducted on August 31, 2015. The residential facility failed to keep the grounds of the facility clean, safe, sanitary and in good repair at all times as the ceiling tiles in the third floor hallway had water stains. In addition, the following items need to be repaired:
1) The flooring in front of the first bedroom and before the staff offices
2) The molding around the two sky lights
3) The ceiling in two bedrooms
4) The molding around a window in the empty bedroom
These findings were reviewed with facility staff during the licensing process.
|
Plan of Correction
As of 9/23/2015 an outside contractor Lewis Home Improvements was hired to repair:
1. The flooring in front of the first bathroom and before staff offices
2. Molding around the two sky lights
3. Ceiling in two bedrooms
4. Molding around window in empty bedroom
Work to be completed by: November 15, 2015
Persons responsible: Executive Director and Contractor |
705.9 (1) LICENSURE General safety and emergency procedures.
705.9. General safety and emergency procedures.
The residential facility shall:
(1) Be free of rodent and insect infestation.
|
Observations
Based on the physical plant inspection, the facility failed to ensure that it was free of rodent and insect infestation at all times.
The findings include:
A physical plant inspection was conducted on August 31, 2015. Invoices from a pest control contractor dated June 30, 2015 and July 30, 2015 were reviewed. The invoices verified that the pest control company had been in to lay down glue traps and glue boards. In addition, the July 30, 2015 invoice had a notation "rat service".
These finding were reviewed with facility staff during the licensing process.
|
Plan of Correction
As of 9/23/2015
Senior men from the Goodwill Company have been assigned to three (3) hours on each floor of the CYWA, to do minor repairs, trash removal and to inspect for rodent and insect infestation. If there are any droppings found or there are any sightings of insects, our licensed pest control will be contacted.
Our licensed pest control is contracted to check monthly and spray as needed.
Persons responsible: Executive Director, Pest Control and maintenance assigned to each floor. |