INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 29-October 1, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Family Services and Children's Aid Society 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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705.22 (2) LICENSURE Building exterior and grounds.
705.22. Building exterior and grounds.
The nonresidential 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 clients, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
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Observations
Based on an annual licensing inspection the facility failed to keep the grounds of the facility in good repair at all times for the safety and well being of clients, employees, and visitors.
The findings include:
At approximately 2 pm on September 29, 2015, while reviewing client records, the ceiling in the group conference room began to leak.
The findings were discussed with facility staff during the licensing inspection.
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Plan of Correction
Contractor will be notified to inspect the facilities roof to determine where the leak generated from. The contractor will repair the leaking area as deemed necessary. The ceiling tile in the conference room that was damaged by the leak will be replaced with another tile. This correction plan will be completed on or before 11/20/15. |