| 6400.67(a) | The basement ceiling had about 6 holes. | Floors, walls, ceilings and other surfaces shall be in good repair. | 1. The maintenance department repaired the ceiling on 8/10/2018. See attachment #5.
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.
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 a 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 |
| 6400.76(a) | The second kitchen cabinet door from the left had its door unable to close. | Furniture and equipment shall be nonhazardous, clean and sturdy. | 1. The maintenance repaired the kitchen cabinet on 8/10/20018. See attachment #6.
2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6400.76(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.
3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Supervisors on 55 PA Code Chapter 6400.76(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 a 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 |