INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on March 28, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection CenClear Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
The following deficiencies were identified.
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Plan of Correction
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705.10 (a) (1) (i) LICENSURE Fire safety.
705.10. Fire safety.
(a) Exits.
(1) The residential facility shall:
(i) Ensure that stairways, hallways and exits from rooms and from the residential facility are unobstructed.
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Observations
Based on the physical plant inspection, the facility failed to maintain two unobstructed means of egress from the facility.
The findings include:
A physical plant inspection was conducted on March 28, 2014. The facility failed to maintain two unobstructed exits from the facility as only one unobstructed exit, the main entrance/exit, was available at the time of inspection.
The findings were discussed with the facility director and were not disputed.
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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 (c) (3) LICENSURE Fire safety.
705.10. Fire safety.
(c) Fire extinguisher. The residential facility shall:
(3) Ensure fire extinguishers are inspected and approved annually by the local fire department or fire extinguisher company. The date of the inspection shall be indicated on the extinguisher or inspection tag. If a fire extinguisher is found to be inoperable, it shall be replaced or repaired within 48 hours of the time it was found to be inoperable.
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Observations
Based on the physical plant inspection, the facility failed to ensure that the fire extinguishers are inspected and approved by the local fire department or fire extinguisher company.
The findings include:
A physical plant inspection was conducted on March 28, 2014. Two fire extinguishers without inspection tags were observed within the facility. The facility failed to ensure that the fire extinguishers had been inspected and approved by the local fire department or fire extinguisher company.
The findings were reviewed and confirmed by the facility director.
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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. |