INITIAL COMMENTS
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This report is a result of an on-site and telephone complaint investigation conducted on August 20, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings, Discovery House HA was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The folowing deficiencies were identified during this investigation:
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Plan of Correction
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705.24 (7) LICENSURE Bathrooms.
705.24. Bathrooms.
The nonresidential facility shall:
(7) Maintain each bathroom in a functional, clean and sanitary manner at all times.
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Observations
Based on an onsite inspection and telephone conversation with staff, the facility failed to maintain bathrooms in a functional and sanitary manner at all times. The lobby bathroom has overflowed with water going into adjoining offices.
The findings were reviewed with facility staff during the complaint investigation process.
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Plan of Correction
The Facility Director and staff continue to monitor Pt. activity in and around the patient restrooms to ensure no further objects are flushed into the system; having corrected such timely when noted.
The Facility Director has replaced all Patient restroom toilets from Eco-Friendly units to Commercial grade units to assist in correcting any such behaviors.
The replacements occurred on August 26, 2021.
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