INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 22-24, 2016, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Abstinent Living at the Turning Point at Washington Women With Children Program 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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705.2 (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.
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Observations
Based on an onsite inspection of the facility conducted on March 24, 2016, the facility failed to ensure that the grounds of the facility were free from hazards.
The findings include:
The lower portion of the facility's driveway leading into the parking lot had a patch of broken and crumpled asphalt approximately 3.5 feet wide and 3.5 feet long.
The section of the metal fence behind the green dumpster in the facility's parking lot was slumped over leaning near the ground.
These findings were reviewed with the facility staff during the inspection process.
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Plan of Correction
The Operations Manager confirms that there was some broken asphalt, approximately 3.5 feet by 3.5 feet, in the parking lot, which is continually broken by a garbage truck. Additionally, the Operations Manager confirms that there is a section of metal fence, owned by another individual, behind the dumpster that continually falls into the parking lot. Immediately upon inspection, the fence was repaired, to the best of our ability without permission from the fence owner. Additionally, the broken asphalt was immediately cleaned up. To ensure that there will no longer be an issue with the asphalt, we are constructing a wall by the end of May 2016 that will prohibit the garbage truck from driving on the sidewalk. In the interim, during our weekly Friday property maintenance reviews, both the fence and the asphalt will be checked and maintained as appropriate. Additionally, we will continue our efforts to contact the fence owner regarding permission to have the fence removed or permanently repaired. This will continue to be overseen by the Operations Manager and the Project Director. |
705.7 (b) (5) LICENSURE Food service.
705.7. Food service.
(b) A residential facility may operate a central food preparation area to provide food services to multiple facilities or locations. A residential facility that operates an onsite food preparation area or a central food preparation area shall:
(5) Keep cold food at or below 40F, hot food at or above 140F, and frozen food at or below 0F.
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Observations
Based on an onsite inspection conducted on March 24, 2016, the facility failed to ensure that the frozen food was kept at a temperature of 0 degrees Fahrenheit.
The findings include:
The freezer in apartment #3 contained frozen food, and had a tested temperature of 40 degrees Fahrenheit at the time of the onsite inspection.
The freezer in apartment #4 contained frozen food, and had a tested temperature of 15 degrees Fahrenheit at the time of the onsite inspection.
These findings were reviewed with facility staff during the inspection process.
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Plan of Correction
The Operations Manager confirms that both freezers in apartment #3 and #4 tested above the required temperature. Immediately upon inspection, new thermometers were placed in the refrigerators/freezers. It was confirmed that the freezers were at 0 degrees and the refrigerators were at 40 degrees, both in compliance with the regulation. Then, both freezers and refrigerators were re-loaded. Additionally, the importance of food safety, and temperature requirements has been reviewed with all staff and all clients. Staff members on duty are documenting the temperature of every refrigerator and freezer during every morning walk through. Additionally, all staff and clients have been instructed not to over fill the freezers. This will continue to be overseen by the Operations Manager and the Project Director. |