INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection. The physical plant inspection was conducted on February 11, 2026, and the client record review was conducted February 18, 2026, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the annual inspection, Pennsylvania Counseling Services 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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705.28 (a) (1) (i) LICENSURE Fire safety.
705.28. Fire safety.
(a) Exits.
(1) The nonresidential facility shall:
(i) Ensure that stairways, hallways and exits from rooms and from the nonresidential facility are unobstructed.
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Observations
Based on a physical plant inspection on February 11, 2026, the facility failed to ensure that exits from the nonresidential facility were unobstructed. The emergency exit door located at the front of the building was obstructed, as it would not open.This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The Director of Maintenance will ensure that all facility exits remain unobstructed and fully operational at all times. On February 11, 2026, Maintenance staff were notified that a door was not operational, and the repair was completed the same day to restore proper function. The Director of Outpatient Administration will ensure that local office staff are re-trained to routinely monitor all exits and to immediately notify the Maintenance Department of any identified concerns to support ongoing compliance and safety. |