INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on April 23, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Mpower Wellness of Pennsylvania was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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705.23 (3) LICENSURE Counseling or activity areas and office space
705.23. Counseling or activity areas and office space.
The nonresidential facility shall:
(3) Ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room. Counseling room walls shall extend from the floor to the ceiling.
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Observations
During a complaint investigation, conducted on April 23, 2024, the facility failed to ensure privacy so that counseling sessions cannot be heard outside the counseling room. A counseling session that was occurring inside Group Room # 1 could be heard by DDAP staff inside Group Room # 2.
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Plan of Correction
To address the concern of confidentiality and privacy regarding services being heard through the walls of the building, the program director will:
Obtain estimates for additional wall insulation.
Follow through with their recommendation if it is economical and effective.
Obtain additional wall decorations to reflect and diffuse sounds.
Direct and instruct staff on the use of all sound machines during all treatment services.
Once the above is completed, assess the effectiveness of the interventions.
Estimated time of completion: 5 months
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705.26 (2) LICENSURE Heating and cooling.
705.26. Heating and cooling.
The nonresidential facility:
(2) May not permit in the facility heaters that are not permanently mounted or installed.
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Observations
During a physical plant inspection conducted on April 23, 2024, it was observed that the facility failed to ensure there were no heaters that were not permanently mounted or installed. Two space heaters were discovered inside Office # 1. One was located on the floor, and one was located on top of the desk.
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Plan of Correction
To address the concern of heaters in the program grounds, Program director:
Removed all heaters.
Directed and instructed staff to cease using and bringing them on grounds.
Educated staff on the dangers of using heaters inside of buildings.
Assess the use of the building wide, integrated HVAC equipment to ensure comfortability of
staff and clients.
Estimated time of completion: 2 weeks
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