| 6400.76(a) | The dryer had a golf-ball size lint located in the lint tray. | Furniture and equipment shall be nonhazardous, clean and sturdy. | 1. The Program Coordintor immediately removed the lint during inspection on 8/9/2018. See attachment #3.
2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6400.67(a) on the Licensing Inspection Instrument Score Sheet Section Physical Site. All areas of non-compliance will result in a maintenance request to be fixed and staff retraining.
3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Supervisors on 55 PA Code Chapter 6400.67(a) on 10/11/2018. See attachment # 2. The Program Supervisor will retrain staff whenever physical site non-compliance is recognized. The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. All areas of non-compliance will result in a maintenance/supervisor request to be corrected through the agency electronic submission. All areas of non-compliance will result in an immediate corrective action and staff retraining. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. |
11/15/2018
| Implemented |
| 6400.110(e) | The smoke detector located in the hallway was not interconnected. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | 1. The Property Manager contacted Kistler O'Brien Fire Protection to repair the fire system on 8/9/2018. See Attachment #1 for service call invoice. All new interconnected smoke detectors where purchased and installed.
2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6400.110(e) on the Licensing Inspection Instrument Score Sheet Section Physical Site. All areas of non-compliance will result in a maintenance request to be fixed.
3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Supervisors (responsible for conducting all fire drills and checking fire systems) on 55 PA Code Chapter 6400.110(e) on 10/11/2018. See attachment # 2. The Program Supervisor will submit a maintenance request whenever physical site non-compliance is recognized. The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. All areas of non-compliance will result in a maintenance/supervisor request to be fixed through the agency electronic submission. All areas of non-compliance will result in an immediate corrective action and staff retraining. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. |
11/15/2018
| Implemented |