INITIAL COMMENTS
|
This report is a result of on-site provisional license follow-up inspections and a complaint investigation conducted December 17-19, 2024 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, French Creek Recovery Center was found to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. No deficiencies were identified during this inspection and no plan of correction is required.
|
Plan of Correction
|
705.2 (2) LICENSURE Building exterior and grounds.
705.2. Building exterior and grounds.
The residential facility shall:
(2) Keep the grounds of the facility clean, safe, sanitary and in good repair at all times for the safety and well-being of residents, employees and visitors. The exterior of the building and the building grounds or yard shall be free of hazards.
|
Observations
Based on a physical plant inspection, the facility failed to keep the grounds of the facility in good repair.
A physical plant inspection was conducted on December 17, 2024. At the time of the physical plant inspection, one clothes washer was not functional. In addition, the walk-in freezer was in operation; but was found to have a temperature of 10 degrees.
|
Plan of Correction
Plan of Correction: All washers are currently in working order. The external thermometer on the freezer was found to not be functioning properly. An internal thermometer has been placed in the freezer to get accurate temperatures. An electrician arrived on 01/23/2025 and determined the freezer did need a new external thermometer. The electrician took measurements and will provide the facility with a quote the week of 01/27/2025 and an appointment day and time to replace. The thermostat was repaired on 1/29/2025. All BHA Technicians have been trained, and attestations have been placed in personnel files, on how to check temperatures. Management will ensure to tag equipment and put an out of order sign on them in the event the equipment has failed. An online/electronic formatted work order log was created for the facility. All staff have access to this log and can put on the log any issues identified within the facility. This log will be monitored daily and an update to corrections needed will be documented daily. This is being monitored by the Director of Facilities Management and the CEO of French Creek. This was put in place on 1/20/2025. All staff will be trained by Department Managers by 02/07/2025 and attestations will be placed in personnel files. This will be added to orientation and all new hires after 01/31/2025 will be trained in orientation. |