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PA Bulletin, Doc. No. 08-1538

NOTICES

DEPARTMENT OF HEALTH

Decisions on Requests for Exceptions to Health Care Facility Regulations

[38 Pa.B. 4681]
[Saturday, August 23, 2008]

   Under 28 Pa. Code § 51.33 (relating to requests for exceptions), effective June 6, 1998, the Department of Health (Department) has published in the Pennsylvania Bulletin all requests by entities licensed under the Health Care Facilities Act (35 P. S. §§ 448.101--448.904b), for exceptions to regulations contained in 28 Pa. Code, Part IV Health Facilities, Subparts B--G.

   Section 51.33(d) provides that the Department will publish notice of all approved exceptions on a periodic basis. The Department has determined that it will publish notice of all exceptions, both approved and denied. The following list contains the decisions made on exception requests published in the Pennsylvania Bulletin from March, 2008 through June, 2008. Future publications of decisions on exception requests will appear on a quarterly basis.

   Requests for additional information on the exception requests and the Department's decision should be made to the relevant division of the Department. Inquiries regarding hospitals and ambulatory surgical facilities shall be addressed to the Division of Acute and Ambulatory Care, Sandra Knoble, Director, Room 532, Health and Welfare Building, Harrisburg, PA 17120. Inquiries regarding long-term care facilities shall be addressed to the Division of Nursing Care Facilities, William Bordner, Director, Room 528, Health and Welfare Building, Harrisburg, PA 17120. Those persons requiring special assistance for speech and/or hearing impairment should call V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Services at (800) 654-5984 (TT).

Hospitals

Facility nameRegulation Relating toRequest PublishedDecision
Bryn Mawr Hospital 28 Pa. Code § 51.6 licensure identification of personnel 06/21/08 granted
Lehigh Valley Hospital 28 Pa. Code § 51.23 mobile PET scanning services 03/08/08 withdrawn
Magee Womens Hospital28 Pa. Code § 101.172, § 137.11 request for reconsideration of patient limits and OB unit granted
Hamot Medical Center28 Pa. Code § 107.2 staff membership03/08/08 granted
St. Luke's Miners Memorial Hospital 28 Pa. Code § 107.2 staff membership 03/29/08 granted
Community Medical Center, Scranton, PA 28 Pa. Code § 107.2 medical staffing 05/10/08 granted
The Bloomsburg Hospital 28 Pa. Code § 107.2 medical staffing05/10/08 granted
Good Shepherd Penn Partners Specialty Hospital at Rittenhouse 28 Pa. Code § 107.2medical staffing05/24/08granted
Altoona Regional Health System 28 Pa. Code § 107.4(c)(5) status, honorary medical Staff medical staff05/10/08 denied
The Western Pennsylvania Hospital West Penn Campus 28 Pa. Code § 107.11MS bylaws12/01/07granted
UPMC St. Margaret 28 Pa. Code § 107.12(a)substitute supervising physicians 03/29/08 denied
The Washington Hospital 28 Pa. Code § 107.26(b) (2) tissue review06/28/08granted
Heritage Valley Health System 28 Pa. Code § 107.62(b)oral orders03/29/08 granted
Main Line Hospitals Lankenau 28 Pa. Code § 123.25(2)regulations for control of anesthetic explosion hazards 04/26/08 granted
Childrens Hospital of Philadelphia 28 Pa. Code 123.25(2) regulations for control of anesthetic explosion hazards 05/03/08granted
Shriners Hospitals for Children-Erie 28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 05/10/08 granted
Warren General Hospital28 Pa. Code § 123.25(2) regulations for control of anesthetic explosion hazards 05/24/08 granted
Alle-Kiski Medical Center 28 Pa. Code § 127.32written orders 04/19/08denied
Sharon Regional Health System 28 Pa. Code § 137.11 facilities and equipment 04/19/08granted
Ephrata Community Hospital 28 Pa. Code § 137.12(d)delivery suite on the familiy maternity unit 05/24/08granted
Sharon Regional Health System 28 Pa. Code § 137.21 policies and procedures 04/19/08granted
Sharon Regional Health System 28 Pa. Code § 137.33 obstetrical-gynecological nursing services 04/19/08granted
Sacred Heart Hospital 28 Pa. Code § 138.15 high risk cardiac catheterizations 02/09/08 granted
UPMC McKeesport28 Pa. Code § 138.15high risk cardiac catheterizations 03/15/08 granted
Pennsylvania Podiataic Medical Association 28 Pa. Code § 143.4medical appraisal of a podiatric patient 07/05/08denied
Pennsylvania Podiatric Medical Association 28 Pa. Code § 143.7 medical orders and patient records 07/05/08 denied
York Hospital--Wellspan Health28 Pa. Code § 153.1 10.2.1.1.2(c) fan coil units02/16/08granted
Crozer Chester Medical Center28 Pa. Code § 153.1 7.2.A1 maximum patient room Capacity 02/09/08 denied
Geisinger South Wilkes-Barre Campus 28 Pa. Code § 153.1 3.7-2.4.1.2(2)
(post-anesthesia recovery rooms min. requirements for area and clearance); 3.7- 2.4.2.1(1) (Phase II recovery in general 3.7-2.4.2.2 (Phase II recovery space req.) 3.7-2.3.1.2 (Class B operating rooms)
02/09/08 granted
Hospital of the Univ of Pennsylvania (HUP)28 Pa. Code § 153.1 2.1.5.3.3.1(2)
stretcher holding stations
03/08/08granted
JC Blair Memorial 28 Pa. Code § 153.1 3.1.1.2(2) and (3)
patient room converted/renovation
3.1.1.5 (handwashing station)
03/08/08 granted/not necessary
UPMC Horizon 28 Pa. Code § 153.1 3.1.3 (examination treatment room) 03/08/08 granted
Lehigh Valley Hospital Cedar Crest Systems 28 Pa. Code § 153.1 2.1-5 (station outlets for oxygen, vacuum & medical 03/08/08denied
Triumph Hospital
Harrisburg
28 Pa. Code § 153.1 2.2-2.2.1.2, 2.2-2.2.1.3 (relating to patient rooms or care areas 3.1-3.1.1.1, 3.1-3.1.1.2, 3.1.1.5, 3.1-3.1.1.6, 3.1-3.1.5.5, 3.1-3.1.5.9 (relating to medical surgical units) 7.1-7.1.2.3,7.1- 7.1.2.5 (relating to public areas) Table 2.1.5 (relating to station outlets for oxygen, vacuum and meidcal air systems) 03/08/08 denied
DuBois Regional Medical Center 28 Pa. Code § 153.1 2.1-5 Station Outlets for Oxygen Vacuum (Suction), and Medical Air Systems 03/15/08 granted
North Pointe Surgery Center28 Pa. Code § 153.1 9.5.F3.c clearance around recovery bay patient stretchers 03/15/08 granted
Brownsville Tri County Hospital28 Pa. Code § 153.1 2.1-2.3.9.2
(equipment and supply storage; 2.1-8.2.2.3-2.b (impatient bedrooms)
03/15/08 granted
Southwest Regional28 Pa. Code § 153.1 5.1.2.5.(1)a (size03/15/08granted
Medical Centerrequirements for treatment rooms in the emergency department
Pennsylvania Hospital28 Pa. Code § 153.1 7.2.1.14 horizontal doors03/29/08 granted
Southwest Regional Medical Center 28 Pa. Code § 153.15.1.2.5(1)(a)
treatment rooms in the emergency department
03/29/08 granted
Abington Memorial Hospital28 Pa. Code § 153.1 2.3.1.3(1) OR size, 5.2.2.2(2) ceiling in OR, 2.4.1.1(4) handwashing stations in PACU, 2.4.1.2(2) PACU size, 2.4.1.3(1) clean storage in PACU, 2.4.2.2 Phase II recovery area, 2.5.1.8 housekeeping closet 03/29/08granted
Abington Memorial Hospital28 Pa. Code § 153.12.6.2(2) staff flow, 5.2.2.3(3) flooring in the OR, 7.1.4 oxygen outlets LSC 20.3.7.1 subdivision of space 03/29/08granted
Geisinger Wyoming Valley Medical Center28 Pa. Code § 153.1 5.3.3.1(2) clearance 04/12/08denied
Riddle Memorial Hospital28 Pa. Code § 153.1 2.1-5.1.2.5 hand washing medical gas outlets 05/12/08granted/
denied in part
Heritage Valley Health System28 Pa. Code § 153.12.1.5.4.1 interventional imaging-location 2.1.5.5.1-cardiac cath lab 04/19/08granted
Pottstown Memorial Medical Center28 Pa. Code § 153.1 2.1-3.4.2.1(1)(a) head wall 2.1-9.2 hospital-type elevator cars 04/19/08 granted
UPMC Presbyterian Shadyside28 Pa. Code § 153.15.1.2.5(1)(2) treatment areas 04/19/08 denied
UPMC Northwest28 Pa. Code § 153.1 10.15.B9 clean utility room; 10.153B10 soiled utility room 10.15.B13 nourishment station; 10.15.B11 medication room 04/19/08granted
Shriners Hospital for Children28 Pa. Code § 153.13.7.3 examination treatment rooms and 3.7.3.1 space requirement 05/10/08granted
Milton S. Hershey Medical Center28 Pa. Code § 153.1 5.3.3.2-(4) post-anesthetic care units space requirements 05/24/08granted
Mount Nittany Medical Center 28 Pa. Code § 153.1 3.1, 2.1.1.1(1) space requirements 05/24/08 granted
Main Line Spine Surgery Center 28 Pa. Code § 153.17.1.4.1 medical gases and vacuum 05/24/08 granted
The Pennsylvania Hospital28 Pa. Code § 153.12.7.4.2 quiet rooms06/21/08granted
Select Specialty Hospital-Central PA28 Pa. Code § 153.13.1.1.1(1) patient rooms, 3.1.1.5.(2) hand wash sink, Table 2.1-2, 10.2.1.2(1) separate air supply to patient to patient rooms 06/21/08 granted
Milton S. Hershey Medical Center28 Pa. Code § 153.1 3.1-2.2.1.2 hand washing sinks in toilet rooms 06/21/08granted
UPMC Presbyterian Shadyside28 Pa. Code § 153.13.4.2.1(3) windows 06/21/08 granted
The PMA Gastroenterology Center 28 Pa. Code § 153.1 2.1-5.3.2.4 station outlets for oxygen, vacuum and medical air systems 06/21/08 not necessary
Easton Hospital 28 Pa. Code § 153.1 3.3.2.1(3) patient room 7.7.A.1 general operating room 06/21/08 granted
Evangelical Community Hospital 28 Pa. Code § 153.12.1-5.5.6.2 Patient toilets 06/21/08 granted
Williamsport Hospital 28 Pa. Code § 153.15.9.3 examination room 06/21/08 granted
5.9.4.10(3) stretcher wheelchair storage
Latrobe Hospital 28 Pa. Code § 153.1 2.1.5.1.3.7(1) (examination and treatment rooms-facility requirements) and 2.3 (child psychiatric room) 07/19/08 granted
St. Clair Hospital/Mt. Lebanon Surgical Center28 Pa. Code § 153.13.7.2.4.1.2 (relating to PACU space) and 3.7.5.2.1.1(1) (corridors) 07/19/08granted
Nason Hospital 28 Pa. Code § 153.12.1-5.5.5 station outlets for oxygen, vacuum and medical medical air systems 07/19/08 granted
Jefferson Regional Medical Center 28 Pa. Code § 153.1 3.1-2.1.1.2 hand washing 07/19/08granted
Ambulatory Surgical Facilities
Delaware Valley Nephrology & Hypertension Associates, PC 28 Pa. Code § 551.3Patient classification 12/01/07granted
Twin Rivers Endoscopy Center 28 Pa. Code § 551.3 definitions04/19/08 granted
Opthalmic Associates Surgery and Laser Center28 Pa. Code § 551.3(iii)classification levels PS-4 patients 04/12/08 denied
Eastern Pennsylvania 28 Pa. Code § 551.3 definitions 06/28/08 granted
Nephrology Associates, PC
Nephrology-Hypertension Associates of Lehigh Valley d/b/a Valley Access Center 28 Pa. Code § 551.3 PSIII patients06/28/08 granted
Clinical Nephrology Associates Ltd. d/b/a Metro Vascular Center 28 Pa. Code § 551.3 PSIII patients06/28/08 granted
Metropolitan Nephrology Associates PC d/b/a Metro Vascular Center 28 Pa. Code § 551.3PSIII patients06/28/08 granted
Renal-Endocrine Associates, PC d/b/a Dialysis Access Center of Pittsburgh 28 Pa. Code § 551.3 PSIII patients 07/19/08 granted
Associates in Kidney Disease & Hypertension, PC d/b/a Dialysis Access Center
of Pittsburgh
28 Pa. Code § 551.3 PSIII patients07/19/08granted
Leader Surgical Center28 Pa. Code § 551.21(d)(2)criteria for ambulatory surgery 01/12/08granted
USVAC Ambulatory Surgery Center28 Pa. Code § 551.21(d)(1)(3)criteria for ambulatory surgery 03/15/08denied
Opthalmology & Surgical Institute28 Pa. Code § 551.21(d)(2) criteria for ambulatory surgery 04/19/08denied
Mt. Lebanon Surgical Center 28 Pa. Code § 553.1governing body 06/21/08granted
Dermatologic Surgi Center-Center City 28 Pa. Code § 553.31(a)administrative responsibilities 03/08/08 granted
Proserpi-Schlecter Center
for Plastic Surgery
28 Pa. Code § 553.31(a)administrator 04/09/08not necessary
Mt. Lebanon Surgical Center 28 Pa. Code § 553.31(a)full time administrator06/21/08granted
Nephrology-Hypertension Assoc of Lehigh Valley d/b/a Valley Access Center 28 Pa. Code § 553.31(a)person in charge06/28/08not necessary
Clinical Nephrology Associates Ltd. d/b/a Metro Vascular Center 28 Pa. Code § 553.31(a)person in charge 06/28/08not necessary
Eastern Pennsylvania Nephrology Assoc, PC 28 Pa. Code § 553.31(a)person in charge 06/28/08not necessary
Metropolitan Nephrology Nephrology Associates PC d/b/a Metro Vascular Center 28 Pa. Code § 553.31(a)person in charge 06/28/08 not necessary
Temple University School of Podiatric Medicine ASC 28 Pa. Code § 555.31(a)anesthesia services propofol 07/21/07granted
Renal-Endocrine Associates, PC d/b/a Dialysis Access Center of Pittsburgh 28 Pa. Code § 553.31(a)person in charge 07/19/08 not necessary
Associates in Kidney Disease & Hypertension, PC d/b/a Dialysis Access Center of Pittsburgh 28 Pa. Code § 553.31(a)person in charge 07/19/08not necessary
Mt. Lebanon Surgical Center 28 Pa. Code § 555.1 medical staff06/21/08granted
Mt. Lebanon Surgical Center 28 Pa. Code § 557.4 quality assurance 06/21/08granted
SmartHealth Norwin Hills Outpatient Center 28 Pa. Code § 563.2(a)medical records service 09/29/07 granted
Mt. Lebanon Surgical Center 28 Pa. Code § 567.2infection control program and committee 06/21/08granted
Grandview Surgery & Laser Center 28 Pa. Code § 569.35 fire, safety and disaster 03/15/08granted
Penn Surgery Institute28 Pa. Code § 569.35fire, safety and disaster03/22/08 granted
Carlisle Outpatient Surgery Center 28 Pa. Code § 569.35general safety precautions 04/12/08granted
Keystone Surgery Center 28 Pa. Code § 569.35general safety precautions05/17/08 granted
Central Penn Endoscopy Center28 Pa. Code § 569.35 general safety precautions 04/26/08 granted
North Pointe Surgery Center28 Pa. Code § 569.35general safety precautions 04/19/08 granted
Childrens Hospital of Philadelphia Ambulatory Surgery Center at Exton 28 Pa. Code § 569.35general safety precautions 05/03/08 granted
Childrens Hospital of Philadelphia Ambulatory Surgery Center at Bucks 28 Pa. Code § 569.35general safety precautions 05/03/08granted
Hershey Outpatient Surgery Center28 Pa. Code § 569.35general safety precautions 05/10/08granted
Williamsport Surgery Center LLC28 Pa. Code § 569.35 general safety precautions 05/31/08 granted
Paoli Surgery Center 28 Pa. Code § 569.35 general safety precautions 07/05/08 granted
RMS Lifeline Interventional Access Center28 Pa. Code § 571.1 3.7-2.5.1 restricted corridor control station 01/19/08 granted
Surgical Institute of Reading28 Pa. Code § 571.15.5.8.1, 5.5.8.4, 5.5.10.1, 5.5.8 support areas for imaging suite 03/15/08granted
Nursing Care Facilities
Countryside Christian28 Pa. Code § 201.3 definitions05/17/08granted
Kittanning Care Center 28 Pa. Code § 201.3definitions06/07/08 granted
Ephrata Manor 28 Pa. Code § 201.3 definitions06/14/08granted
River's Edge Nursing and Rehab Center 28 Pa. Code § 201.3 definitions06/21/08granted
Montgomery Rehab Center of Chestnut Hill 28 Pa. Code § 201.17location06/21/08 granted
Grove City Medical Center28 Pa. Code § 201.18(e)management07/05/08 temp granted
UPMC Horizon Transitional28 Pa. Code § 201.18(e)management07/05/08 temp granted
UPMC Horizon Transitional 28 Pa. Code § 201.18(e)management07/05/08temp granted
The Inn at Freedom Village28 Pa. Code § 205.6(a)function of building 03/15/08denied
United Zion Retirement28 Pa. Code § 205.6(a)function of building 03/08/08 granted
The Inn at Freedom Village28 Pa. Code § 505.6(a) function of building 03/29/08 denied
Green Ridge Health Care 28 Pa. Code § 205.6(a)function of building 04/12/08 granted
Coldstream Crossing 28 Pa. Code § 205.6(a)function of building 04/19/08 granted
ManorCare Health Svcs 28 Pa. Code § 205.6(a)function of building 04/19/08granted
Beaver Elder Care & Rehab 28 Pa. Code § 205.6(a)function of building 05/03/08 granted
UPMC Northwest Med 28 Pa. Code § 205.6(a)function of building 05/17/08granted
Church of God Home, Inc.28 Pa. Code § 205.6(a)function of building 06/07/08 granted
Fox Subacute at Mechanicsburg28 Pa. Code § 205.6(a)function of building 07/05/08granted
John J. Kane Regional Center28 Pa. Code § 205.24(a)dining room 03/08/08granted
The Hollinger Group 28 Pa. Code § 205.25(a)kitchen 03/29/08granted
UPMC Northwest Med 28 Pa. Code § 205.25(a)(b)kitchen 05/17/08granted
Fox Subacute at Mechanicsburg28 Pa. Code § 205.25(a)kitchen 07/05/08granted
John J. Kane Regional Center 28 Pa. Code § 205.27lounge and recreation rooms03/08/08 granted
Guardian Elder Care Center 28 Pa. Code § 205.28(b) nurses' station 03/22/08granted
The Kepler Home, Inc.28 Pa. Code § 205.28(c)(3)nurses' station 04/26/08granted
UPMC Northwest Med 28 Pa. Code § 205.28(c)(3)nurse's station05/17/08granted
The Hollinger Group 28 Pa. Code § 205.31storage 03/29/08granted
UPMC Northwest Med 28 Pa. Code § 205.33(a)(b)utility room05/17/08 granted
The Inn at Freedom Village 28 Pa. Code § 205.36bathing facilities03/15/08granted
The Inn at Freedom Village 28 Pa. Code § 205.36(h)bathing facilities 03/29/08granted
United Zion Retirement 28 Pa. Code § 205.36(h)bathing facilities 03/08/08 granted
Mary Evans Ext'd Care 28 Pa. Code § 205.36(h)bathing facilities 04/12/08granted
Sayre House, Inc.28 Pa. Code § 205.36(h)bathing facilities 04/26/08 granted
Montgomery Rehab Center of Chestnut Hill28 Pa. Code § 205.36(h)bathing facilities 06/21/08 granted
Fox Subacute at Mechanicsburg 28 Pa. Code § 205.36(h)bathing facilities07/05/08 granted
United Zion Retirement28 Pa. Code § 205.38(a)toilet facilities 03/08/08 granted
Fox Subacute at Mechanicsburg28 Pa. Code § 205.38(c)toilet facilities07/05/08temp granted
Phoebe Berks Health Care 28 Pa. Code § 205.67(k)electric requirements 04/26/08 granted
Millcreek Manor 28 Pa. Code § 211.12(b)(c)nursing services05/17/08granted
Millcreek Community 28 Pa. Code § 211.12(b)(c)nursing services 05/17/08 granted

CALVIN B. JOHNSON, M. D., M.P.H.,   
Secretary

[Pa.B. Doc. No. 08-1538. Filed for public inspection August 22, 2008, 9:00 a.m.]



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