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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA, INC. WEST CHESTER
1030 SOUTH CONCORD ROAD
WEST CHESTER, PA 19382

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Survey conducted on 05/21/2021

INITIAL COMMENTS
 
This report is a result of an on-site complaint investigation conducted March 18-21, 2021 at Gaudenzia Kindred House by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Gaudenzia West Chester House was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
 
Plan of Correction

705.1 (3)  LICENSURE Gen requirements for residential facilities.

705.1. General requirements for residential facilities. The residential facility shall: (3) Comply with applicable Federal, State and local laws and ordinances.
Observations
Based on a physical plant inspection and staff and client interviews conducted during a complaint investigation May 18 -21, 2021, the facility failed to comply with federal, state and local laws.



Expired and moldy food from the West Chester House is being provided to the clients and children at the Kindred House. This was discussed with both facility directors following the complaint investigation.
 
Plan of Correction
House Managers will check the expiration date and condition of all food at the time that it is brought into the facility and discard any food past its expiration date or which appears spoiled. Any food to be delivered to Kindred House will be similarly checked before delivery. The Kitchen Manager, Nancy Brown will review these procedures with all individuals working in the kitchen and will monitor to ensure that these checks are happening as specified. In addition, the Quality Assurance Department conducts quarterly reviews, and the Compliance department conducts reviews of corrective action plans to ensure implementation.


 
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