Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Program Licensure, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
2, an abbreviated on-site inspection, will be conducted on-site at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 2, an abbreviated on-site inspection, conducted on January 5, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Not all regulations were reviewed, the remainder of the regulations were reviewed during Part 1.
Based on the findings of Part 2, an abbreviated on-site inspection, Conewago Place 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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Observations
Based on a physical plant inspection, the facility failed to ensure that room 229 had ceiling coverings as a panel was missing.
These findings were discussed with facility staff during the licensing process.
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Plan of Correction
The panel on the ceiling in room 229 has been fixed as of 1/18/21 by staff maintenance.
Daily facility tours will continue to be done to ensure compliance. These will be done by maintenance staff as well as Facility Director. Maintenance staff will communicate any and all issues to the Director. Issues will be handled promptly. |