INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on January 16, 2026 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Treatment Access and Services Center of Berks County, Inc. (TASC) 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 (d) (1) LICENSURE Fire safety.
705.28. Fire safety.
(d) Fire drills. The nonresidential facility shall:
(1) Conduct unannounced fire drills at least once a month.
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Observations
Based on a review of the facility's January 2025 through December 2025 fire drill logs, the facility failed to conduct unannounced fire drills at least once a month.
At the time of the inspection, there was no documentation provided indicating any fire drills were conducted during the months of January 2025, February 2025, April 2025, May 2025, June 2025, August 2025, September 2025, and November 2025.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The agency will ensure to make every effort in completing fire drills monthly. To do so, it will be the responsibility of the Executive Director, Clinical Director and Toxicology Supervisor to alternate scheduling the fire drills. In doing so, it will secure that the agency as a whole is invested in completing this requirement and having a variety in the days and times that these fire drills are completed. |
705.28 (d) (5) LICENSURE Fire safety.
705.28. Fire safety.
(d) Fire drills. The nonresidential facility shall:
(5) Prepare alternate exit routes to be used during fire drills.
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Observations
Based on a review of the facility's January 2025 through December 2025 fire drill logs, the facility failed to prepare alternate exit routes to be used during the fire drills.
At the time of the inspection, every fire drill conducted during the reviewed period utilized the south stairs evacuation route.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
Moving forward, the Executive Director will incorporate that both exits into our evacuation plan and policy be utilized. This will ensure that there are two exit routes to be used for not only fire drills, but in actual emergencies as well. |