INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 28, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 1JTZ6701 Sees The Day, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during the inspection, and a plan of correction is required.
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Plan of Correction
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§ 717.21(a) LICENSURE Resident Roster
§ 717.21. Resident roster.
(a) The licensee shall maintain a resident roster that identifies the date of each resident ' s beginning and end or completion of residency.
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Observations
Based on one of four resident records reviewed, the facility failed to maintain a resident roster that identifies the date of each resident ' s beginning and end or completion of residency.
Resident # 3 was admitted on June 12, 2025, with an unknown discharge date. Resident # 4 was not documented on the resident roster provided by the facility.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The deficiencies brought to the attention of the Director of Operations regarding lack of information with the resident roster such as date of each residents beginning and end dates moving forward will be corrected by the Director of Operation by noting each file at intake time and end date and will also be logged into the resident's notes in the computer.
The Director of operation will monitor and update all changes as they occur |
§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on a review of residents records, the facility failed to provide the resident in writing, notification to the resident stating the decision to end residency that includes the reason, a timeframe for ending residency, and notification to the resident they have an opportunity to request the licensee to reconsider a decision to end residency before the decision to end residency takes effect.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The deficiencies identified during the inspection; to provide the resident in writing, notification to the resident stating the decision to end residency that includes the reason, a timeframe for ending residency, and notification to the resident they have an opportunity to request the licensee to reconsider a decision to end residency before the actual decision to end residency takes effect.
This issue will be managed buy the Director of Operations. Moving forward the Director of Operations will be responsible to monitor discharges and that the resident is given in writing the notification to end residency, with time, reason and the chance to reconsider his or hers discharge.
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§ 717.29(e)(3) LICENSURE Physical plant standards - Bathrooms
§ 717.29. Physical plant standards.
(e) Bathrooms. The licensee shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120°F.
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Observations
Based on a physical plant inspection, the facility failed to keep the water temperature from exceeding 120 degrees Fahrenheit. The water temperature in the bathroom was read at 150 degrees Fahrenheit.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Based on the inspection water temperature was not at the appropriated temperature. This has been corrected by adjusting the temperature dial on the water tank.
The House Manager will implement a weekly schedule to check the temperature as well as the house president notifying us on any changes. |
§ 717.30(b)(1) LICENSURE Safety and emergency procedures - Exits
§ 717.30. Safety and emergency procedures.
(b) Exits. The licensee shall:
(1) Ensure that stairways, hallways and exits from rooms and from the drug and alcohol recovery house are unobstructed.
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Observations
Based on a physical plant inspection, the facility failed to ensure that stairways, hallways and exits from rooms and from the drug and alcohol recovery house are unobstructed. The emergency exit on the third floor was obstructed and not accessible.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
At the time of inspection the facility failed to ensure that stairways, hallways and exits from rooms and the main recovery house are unobstructed. The emergency exit on the third floor was obstructed and not accessible, moving forward the all hallways and exits have been cleared, the emergency exit is cleared.
The house manager will check weekly making sure all exits, hallways, stairs and emergency exits are unobstructed. The House President will also communicated with the House Manager any issues are concerns. |