INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 6, 2025 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 02376701 One Day at a Time 1 Recovery House was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.29(b)(1) LICENSURE Physical plant standards - Bldg-Exterior-Grnd
§ 717.29. Physical plant standards.
(b) Building interior, exterior and grounds. The licensee shall:
(1) Keep the interior, exterior, and grounds or yard of the drug and alcohol recovery house clean, safe, sanitary and in good repair and free of hazards at all times.
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Observations
Based on review of the physical plant the recovery house failed to keep the interior in good repair and free of hazards at all times.
Findings: Leak in ceiling in various places, exposed wires and broken dressers through out the bedrooms.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Plan of Correction: Physical Plant Standards -Bldg.-Exterior-Grnd.
The ODAAT Team has implemented the procedure on 03/07/2024 according to $717.29 Licensure.
The ODAAT Team will immediately notify ((Lead Supervisor, Directors and Designated Qualified Staff) responsible for contracting repairs for ODAAT sites.
Hired contractors will begin the repair of leaks in ceiling areas in the facility hallway on March 24, 2025.
The exposed wires have been covered and properly secured on March 17,2025.
The process of obtaining and replacing broken dressers will be implemented on March 24, 2025.
Lead Supervisor will use the proper documentation set in place by the ODAAT Team to report and submit maintenance request for all needed repairs for the site.
The House Manger (Alita Mapp) will follow up with staff responsible for repairs to have accurate updates of repair progress and completion.
Lead Supervisor will use the proper documentation set in place by the ODAAT Team to report and submit the replacement of all damaged furniture in bedrooms and lounge areas.
The House Manager(Alita Mapp) will keep track of furniture orders placed and delivery time to sites with ODAAT Teams account payable department.
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§ 717.29(e)(5) LICENSURE Physical plant standards - Bathrooms
§ 717.29. Physical plant standards.
(e) Bathrooms. The licensee shall:
(5) Ventilate toilet and wash rooms by exhaust fan or window.
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Observations
Based on the physical plant inspection the recovery house failed to ensure that there is ventilation in bathrooms in residents bedrooms.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Plan of Correction: Physical Plant Standards -Bldg.-Exterior-Bathroom.
The ODAAT Team has implemented the procedure on 03/07/2024 according to $717.29 Licensure.
The ODAAT Team will immediately notify ((Lead Supervisor, Directors and Designated Qualified Staff) responsible for contracting repairs for ODAAT sites.
Lead Supervisor will use the proper documentation set in place by the ODAAT Team to report and submit maintenance request for all needed repairs for the site. The House Manger will follow up with staff responsible for repairs to have accurate updates of repair progress and completion.
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§ 717.29(f)(1) LICENSURE Physical plant standards - Kitchens
§ 717.29. Physical plant standards.
(f) Kitchens. The licensee shall:
(1) Provide a kitchen area with capacity for residents to safely store food items and prepare meals. The kitchen area must include refrigerator, sink, stove, oven and cabinet space in a good state of repair.
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Observations
Based on the physical plant inspection the recovery house failed to maitain cabinet space in good repair.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Plan of Correction: Physical Plant Standards -Bldg.-Exterior-Kitchen.
The ODAAT Team has implemented the procedure on 03/07/2024 according to $717.29 Licensure.
The ODAAT Team will immediately notify ((Lead Supervisor, Directors and Designated Qualified Staff) responsible for contracting repairs for ODAAT sites.
Hired contractors will begin the repairs of the Cabinet space in kitchen prep area on March 24, 2025.
Lead Supervisor will use the proper
documentation set in place by the ODAAT Team to report and submit maintenance request for all needed repairs for the site.
The House Manger (Alita Mapp) will follow up with executive staff that is responsible for coordination of repairs to have accurate updates of repair progress and completion.
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§ 717.29(g)(2) LICENSURE Physical plant standards - Heating-Cooling
§ 717.29. Physical plant standards.
(g) Heating and cooling. The licensee:
(2) May not use or permit portable space heaters.
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Observations
Based on the physical plant inspection the recovery house failed to ensure that there are no space heaters.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Plan of Correction: Physical Plant Standards -Bldg.-Exterior-Heating and Cooling.
The ODAAT Team has implemented the procedure on 03/07/2024 according to $717.29 Licensure.
The ODAAT Team will ensure to inform all residents during the intake process they are not permitted to use Space heaters on site . Staff will do regular room checks during the required safety check rounds to ensure this policy is being adhered to and if space heaters are found staff will immediately remove the space heaters , remind the resident of the policy and report the incident to the House Manger.
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