INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on June 29, 2016, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Pyramid Healthcare Inc. 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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705.24 (3) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential facility shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120F.
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Observations
The hot water temperature in the client bathroom was tested at 124.5 degrees Fahrenheit.
These findings were reviewed with the facility staff during the inspection process.
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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. |
709.93(a)(8) LICENSURE Client records
709.93. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following:
(8) Case consultation notes.
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Observations
The facility failed to document a complete client record in five client records reviewed.
Client #3 was admitted for treatment on 4/13/2016, and discharged on 6/3/2016, but the facility failed to document a case consultation in the client's record.
Client #4 was admitted for treatment on 4/07/2016, and discharged on 5/24/2016, but the facility failed to document a case consultation in the client's record.
Client #5 was admitted for treatment on 2/22/2016, and discharged on 4/15/2016, but the facility to document a case consultation in the client's record.
Client #6 was admitted for treatment on 2/09/2016, and discharged on 5/25/2016, but the facility to document a case consultation in the client's record.
Client #7 was admitted for treatment on 2/02/2016, and discharged on 3/08/2016, but the facility to document a case consultation in the client's record.
These findings were reviewed with the facility staff during the inspection process.
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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. |