INITIAL COMMENTS
|
This report is a result of an renewal on-site licensure inspection conducted on March 22, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, WN076701 Another Day Clean was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
|
Plan of Correction
|
§ 717.18(c)(3) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
|
Observations
Based on a review of staff records, the recovery house failed to complete sexually transmitted disease training using a department approved curriculum.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
House manager will complete STD training |
§ 717.19(b) LICENSURE Resident Rights
§ 717.19. Resident rights.
(b) The licensee shall obtain written acknowledgement by residents that they have received notice of their rights.
|
Observations
Based on a review of resident records, the recovery house failed to obtain written acknowledgment by residents that they have received notice of their rights.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
residents rights form was created and added to resident's charts |
§ 717.29(e)(4) LICENSURE Physical plant standards - Bathrooms
§ 717.29. Physical plant standards.
(e) Bathrooms. The licensee shall:
(4) Provide privacy in toilets by doors, and in showers and bathtubs by partitions, doors or curtains. There must be slip-resistant surfaces in all bathtubs and showers.
|
Observations
Based on a physical plant inspection, the recovery house failed to provide slip-resistant surfaces in all bathtubs and showers.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
Non slip decals were purchased and applied to the bathtubs |