INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on January 15, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, TPALS (Turning Point Alternative Living Solutions) 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 (d) (4) LICENSURE Fire safety.
705.28. Fire safety.
(d) Fire drills. The nonresidential facility shall:
(4) Maintain a written fire drill record including the date, time, the amount of time it took for evacuation, the exit route used, the number of persons in the facility at the time of the drill, problems encountered and whether the fire alarm or smoke detector was operative.
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Observations
Based on a review of fire drill logs, the facility failed to maintain a written fire drill record that included the date, time, the amount of time it took for evacuation, the exit route used, the number of persons in the facility at the time of the drill, problems encountered and whether the fire alarm or smoke detector was operative.
The findings include:
Fire drill logs for the period of April 2014 to December 2014 were reviewed on January 15, 2015. The fire drill logs that were documented did not include the amount of time it took for evacuation; the exit route used; the number of persons in the facility at the time of the drill; problems encountered; and whether the fire alarm or smoke detector was operative.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Name of Facility: TPALs Turning Point Alternative Living Solutions
Town/City: Scranton SCA: Lackawanna
Date: 1/30/2015 Facility No. 1154738417
Standard(s) in Non-Compliance: Logging/monitoring fire safety evacuation procedure.
Explanation: Facility Director has made an updated version of the fire drill log to include all information needed for regualtion 705.28 (d)(4). Facilitly Director will update the fire drill log monthly after each fire drill.
We are looking forward to receiving a revised submission addressing this issue(s). |