INITIAL COMMENTS
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This report is a result of an onsite follow-up inspection regarding the plans of correction for the September 20, 2011 licensure renewal inspection. The follow-up inspection was conducted on April 27, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the onsite follow-up inspection, DARS, Inc. Supervised Independent Living Program 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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705.5 (a) (1) LICENSURE Sleeping accommodations.
705.5. Sleeping accommodations.
(a) In each residential facility bedroom, each resident shall have the following:
(1) A bed with solid foundation and fire retardant mattress in good repair.
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Observations
Based on observations on April 27, 2012, the facility failed to maintain a bed with a solid foundation and fire retardant mattress in good repair.
The findings include:
A physical plant inspection was conducted on April 27, 2012. Ten mattresses of clients requiring to be in good repair were inspected. It was observed during the inspection at approximately 1:25 P.M. that one of ten mattresses of clients that were inspected had a large tear and areas of stains on the mattress, specifically, the mattress on one of the top bunk beds in the residential client room on the third floor.
The findings were confirmed during an interview with the project director on April 27, 2012 from approximately 1:25 P.M. to 1:28 P.M.
This is a repeat citation. The facility was cited on September 20, 2011 for noncompliance with this standard.
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Plan of Correction
On April 27, 2012, the client mattress on the 3rd floor with the stains and tear was replaced. Facility inspections for client mattresses will be increased in frequency from once a month to twice a month. This will improve the chance of detecting any stains and tears in and on the mattresses. Once a tear or stain is detected, that is not repairable, that defective mattress(s) will be replaced immediately. The Program Director and Assistant Director will conduct these bi-monthly inspections. |
705.7 (b) (2) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(2) Clean and disinfect food preparation areas and appliances following each prepared meal.
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Observations
Based on observations on April 27, 2012, the facility failed to ensure that clean and disinfect food preparation areas and appliances followed each prepared meal.
The findings include:
A physical plant inspection was conducted on April 27, 2012. It was observed during the inspection at approximately 1:13 P.M. the vent above the cooking area on the stove located in the kitchen on the second floor had areas that were greasy. Also, it observed during the inspection at approximately 1:14 P.M. the drawer of the range below the oven located in the kitchen on the second floor had areas that were greasy.
The findings were confirmed during an interview with the project director on April 27, 2012 from approximately 1:13 P.M. to 1:15 P.M.
This is a repeat citation. The facility was cited on September 20, 2011 for noncompliance with this standard.
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Plan of Correction
In conjunction with the daily cleaning of the kitchen, a "Major" cleaning is done once a week. At the time of this "Major" cleaning, a log will be kept specifically for the oven and its components. This log will be signed by the staff on duty during the "Major" cleaning/inspection that all of the oven areas have been cleaned thoroughly. The log will be kept in the Program Director's office. This procedure will continue until the corporation moves to the new site and kitchen responsibilities are delegated to a new program fucntion. |