| 6400.110(b) | In the vacant bedroom #3 on the second level of the home the smoke detector was inoperative. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | 1. Maintenance request submitted and the smoke alarm had faulty wiring that was fixed. See Attachment #13.
2. The Program Coordinator will complete site inspections on all other programs by 1/15/2020 and document compliance with 55 PA Code Chapter 6400.110 (b) on a Modified Self-Assessment Licensing Inspections Instrument. See Attachment #3. All areas of non-compliance will result in immediate corrective action and staff retraining.
3. In order to prevent reoccurrence, The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. See attachment #8. All areas of non-compliance will result in a maintenance/supervisor request to be corrected through an agency electronic submission. See attachment #6 (Sample). All areas of non-compliance will result in a immediate corrective action and staff retraining.
4. The Program Director trained staff responsible for the Plan of Correction and corresponding regulations on 12/13/2019. See Attachment #5. |
01/15/2020
| Implemented |