NOTICES
Decisions on Requests for Exception to Health Care Facility Regulations
[41 Pa.B. 2287]
[Saturday, April 30, 2011]Under 28 Pa. Code § 51.33 (relating to requests for exception), 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, Subparts B—G.
Section 51.33(d) of 28 Pa. Code 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 July 2010 through March 2011. Future publications of decisions on exception requests will appear on a quarterly basis.
All requests for additional information on the exception request 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 Joanne Salsgiver, Director, Division of Acute and Ambulatory Care, Room 532 Health & Welfare Building, Harrisburg, PA 17120. Inquiries regarding long-term care facilities shall be addressed to Susan Williamson, Director, Division of Nursing Care Facilities, Room 528, Health & Welfare Building, Harrisburg, PA 17120.
Hospitals
Facility Name Regulation Relating to Request Decision Carlisle Endoscopy
Center28 Pa. Code § 51.6 identification of
personnel01/29/11 not necessary Elk Regional Health 28 Pa. Code § 51.6 identification of 02/05/11 granted Center personnel Main Line Hospital Paoli 28 Pa. Code § 51.6 identification of 03/12/11 granted personnel Thomas Jefferson University 28 Pa. Code § 51.23 PET scanning services 07/24/10 withdrawn Hospital Methodist Division Mercy Suburban 28 Pa. Code § 51.23 PET scanning services 03/12/11 granted Hospital Advanced Surgical Hospital 28 Pa. Code § 101.172 patient limits 11/20/10 granted Geisinger Medical Center/ 28 Pa. Code § 101.172 patient limits 01/29/11 denied Janet Weis Children's Hospital OSS Orthopaedic 28 Pa. Code § 101.31(7) hospital requirements— 01/29/11 granted Hospital permanent on-site
facilitieswith provisions LifeCare Hospitals of 28 Pa. Code § 103.1 principle 01/29/11 granted Pittsburgh—Suburban 103.3 governing body bylaws 103.31 chief executive officer Coordinated Health
Orthopedic Hospital, LCC28 Pa. Code § 105.11(b)
access 09/18/10 granted with provisions LifeCare Hospitals of 28 Pa. Code § 107.1 principle 01/29/11 granted Pittsburgh—Suburban 107.11 principle-medical staff bylaws, rules, and regulations 107.26(b)(1) credentials committee 107.26(b)(7) bylaws committee Kindred Hospital 28 Pa. Code § 107.2 medical staff membership 01/29/11 granted Wyoming Valley Nazareth Hospital 28 Pa. Code § 107.2 medical staff membership 01/29/11 granted Saint Catherine Medical 28 Pa. Code § 107.2 medical staff membership 02/26/11 granted Center Fountain Springs Chester County Hospital 28 Pa. Code § 107.25(b)(8) medical staff executive 01/29/11 granted committee Select Specialty Hospital 28 Pa. Code § 107.25(b)(8) medical staff executive 02/26/11 granted Johnstown committee Children's Hospital of 28 Pa. Code § 107.62(b) oral orders 01/29/11 granted Pittsburgh of UPMC LifeCare Hospitals of 28 Pa. Code § 109.2 director of nursing 01/29/11 granted Pittsburgh—Suburban services Campus Carlisle Regional Medical Center 28 Pa. Code § 119.22 written policies and procedure referrals 11/20/10 granted with provisions York Hospital 28 Pa. Code § 119.44 location of the short 03/12/11 granted term procedure operating room Shamokin Area 28 Pa. Code § 123.25(2) regulations for control 01/29/11 granted Community Hospital of anesthetic explosion hazards Titusville Area Hospital 28 Pa. Code § 123.25(2) regulations for control 02/05/11 granted of anesthetic explosion hazards J. C. Blair Memorial 28 Pa. Code § 123.25(2) regulations for control 02/05/11 granted Hospital of anesthetic explosion hazards York Hospital 28 Pa. Code § 127.31(b) policies and procedures 05/22/10 granted with provisions Community Medical Center 28 Pa. Code § 127.32 written orders diagnostic 01/29/11 granted radiology services Evangelical Community Hospital 28 Pa. Code § 127.32 written orders diagnostic 01/29/11 granted radiology services Somerset Hospital 28 Pa. Code § 127.32 written orders diagnostic 01/29/11 granted radiology services St. Luke's Riverside 28 Pa. Code § 138.15 high risk caths 03/12/11 granted Hospital Mount Nittany Medical 28 Pa. Code § 138.18(b) postoperative care 01/29/11 granted Center w/conditions Keystone Pain Institute 28 Pa. Code § 153.1 2.3.1.2 OR size 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 2.3.4 Image Viewer 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 2.4.1.1 recovery rooms 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 2.4.2 Phase II recovery 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 2.5.4 soiled workroom 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 2.5.5 sterilization 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 2.5.7.5 stretcher 05/15/10 withdrawn storage area Keystone Pain Institute 28 Pa. Code § 153.1 2.5.8 housekeeping 05/15/10 withdrawn Keystone Pain Institute 28 Pa. Code § 153.1 3.1.2 sterilization 05/15/10 withdrawn facilities Keystone Pain Institute 28 Pa. Code § 153.1 7.2.3.1 medical gases 05/15/10 withdrawn Ephrata Community 28 Pa. Code § 153.1 2.2-2.16(2)(b) room 11/20/10 granted Hospital dimensions Ephrata Community
Hospital28 Pa. Code § 153.1 2.2-2.2.2.5(1)(a) hand
washing station11/20/10 not necessary Ephrata Community 28 Pa. Code § 153.1 2.2-2.16.4.2 bariatric 11/20/10 granted Hospital isolation room Ephrata Community
Hospital28 Pa. Code § 153.1 2.2-2.16.2.2(3)
renovation11/20/10 not necessary Westfield Hospital 28 Pa. Code § 153.1 2.1-5.1.3.4 triage room 11/20/10 granted Wilkes-Barre General 28 Pa. Code § 153.1 2.1-8.5.3.2 technology 11/20/10 granted Hospital distribution rooms Western Pa Hospital 28 Pa. Code § 153.1 2.2-2.5.6.1 01/29/11 granted Forbes Regional Campus administrative center or nurse station Western PA Hospital 28 Pa. Code § 153.1 2.2-2.5.2.5 hand 01/29/11 granted Forbes Regional Campus washing stations Healthsouth Rehab Hospital of Altoona 28 Pa. Code § 153.1 2.1-2.3.1 dining, recreation, and day space 01/29/11 not necessary Memorial Hospital Inc, Towanda 28 Pa. Code § 153.1 3.1-3.2.3 space requirements 01/29/11 granted Pinnacle Health at Hbg 28 Pa. Code § 153.1 2.2-2.5.2.5 hand 01/29/11 granted Hospital North-10 Progressive washing stations; Care Unit 2.2-2.5.6.11 equipment supply storage Pinnacle Health at Harrisburg 28 Pa. Code § 153.1 2.2-3.9.2.6 patient 01/29/11 granted Hospital Dialysis Unit toilet;
2.2-3.9.6.11 stretcher/ wheelchair storage;
2.2-3.9.7.1 staff changing areas and staff shower;
2.2-3.9.8.1 waiting room, public toilet, public telephone;
2.2-3.9.8.2 patients' belonging storage;
2.2-3.9.2.2(1) space requirements for clearance between beds/lounge chairsPinnacle Health Card. 28 Pa. Code § 153.1 3.1-3.6.1 nurse station; 01/29/11 granted Diagnostic Services Weight 3.1-3.6.6 medication Loss Clinic distribution station;
3.1-3.6.7 nourishment area or room;
3.1-7.2 corridor widthPinnacle Health 28 Pa. Code § 153.1 3.1-3.6.1 nurse station(s); 01/29/11 granted Cardiovascular Diag Services 3.1-3.6.6 medication 2nd Floor Pediatrics, distribution station; Wormleysburg 3.1-3.6.7 nourishment area or room;
3.1-7.2 corridor widthPinnacle Outpatient 28 Pa. Code § 153.1 3.1-3.6.1 nurse station; 01/29/11 granted Cardiovascular 3.1-3.6.6 medication; Diagnostic Services 3.1-3.6.7 nourishment Carlisle Distribution Station area or room Jameson Memorial Hospital 28 Pa. Code § 153.1 Table 7-1-7.4.1 01/29/11 granted operating room;
2.1-8.5.3 technology distribution room;
2.2-3.3.3.3 and 3.3.3.4 Phase II recoveryDuBois Regional Medical 28 Pa. Code § 153.1 3.1-7.2.2.1 corridor 01/29/11 granted Center width and 3.1-3.2.2.2 exam rooms CH Hospital of 28 Pa. Code § 153.1 3.1-3.2.2.3 hand 01/29/11 granted Allentown— washing stations Independence Clinic CH Hospital of 28 Pa. Code § 153.1 3.1-3.2.2.3 hand 01/29/11 granted Allentown—Allentown washing stations Clinic CH Hospital of 28 Pa. Code § 153.1 3.1-3.2.2.3 01/29/11 granted Allentown—Highland hand washing stations Clinic CH Hospital of 28 Pa. Code § 153.1 3.1-7.2.2.1 corridor 01/29/11 granted Allentown— width Brodheadsville Clinic Chester County Hospital 28 Pa. Code § 153.1 2.2-3.4.4.2(1) and (3) 01/29/11 granted design configuration of MRI Suite EastGate Ambulatory 28 Pa. Code § 153.1 3.7-3.8.1 outpatient 01/29/11 granted Care Center, LLC surgery change area;
3.7-3.4.2.2 post-anesthesia recovery positionsUPMC Western 28 Pa. Code § 153.1 2.1-2.4.3 and 2.5-2.2.4.3 01/29/11 granted Psychiatric Institute and seclusion room; Clinic 2.5-2.2.2.6 toilet room;
2.2-2.2.2.1(2)(a) clearancesLehigh Valley Hospital— 28 Pa. Code § 153.1 2.2-3.1.3.6 station 01/29/11 granted Muhlenberg outlets;
Table 2.1-3 emergency care— general;
2.2-3.1.2.6 sub-section (a) work counterUPMC Presbyterian 28 Pa. Code § 153.1 2.1-7.2.3.4(3)(a) ceilings 01/29/11 denied Shadyside Evangelical Community 28 Pa. Code § 153.1 2.2-3.4.5.3 patient 01/29/11 denied Hospital toilet for ultrasound room;
2.2-5.4.6.4 patient holding areaUPMC Mercy Hospital 28 Pa. Code § 153.1 2.2-2.2.2 space 01/29/11 granted requirements CH Hospital of Allentown 28 Pa. Code § 153.1 3.1-3.2.2.2 space 02/05/11 granted Schoenersville Physician requirements Office CH Hospital of Allentown 28 Pa. Code § 153.1 3.1-3.2.2.2 space 02/05/11 granted Independence Physician requirements Office CH Hospital of Allentown 28 Pa. Code § 153.1 3.1-3.2.2.2 space 02/05/11 granted Brodheadsville requirements Physician Office CH Hospital of Allentown 28 Pa. Code § 153.1 3.1-3.2.2.2 space 02/05/11 granted Highland Physician Office requirements CH Hospital of Allentown 28 Pa. Code § 153.1 3.1-3.2.2.2 space 02/05/11 granted Easton Physician Office requirements CH Hospital of Allentown 28 Pa. Code § 153.1 2.2-3.4.4.4 hand 02/05/11 granted Brodheadsville MRI Suite washing station CH Hospital of Allentown 28 Pa. Code § 153.1 2.2-3.4.4.4 hand 02/05/11 granted Schoenersvile MRI Suite washing station CH Hospital of Allentown 28 Pa. Code § 153.1 2.2-3.7.8.2 patient 02/05/11 granted Easton Physical Therapy toilets Office Western PA Hospital 28 Pa. Code § 153.1 2.2-2.2.2.5 hand 02/05/11 granted Forbes Regional Campus washing stations Children's Hospital of 28 Pa. Code § 153.1 2.2-2.6.2.3 windows 02/26/11 granted Philadelphia York Hospital 28 Pa. Code § 153.1 2.2-2.2.2.7 patient 02/26/11 granted bathing facilities (2) CH Hospital of 28 Pa. Code § 153.1 3.1-3.2.2.3 hand 03/12/11 granted Allentown—Lehighton washing stations Clinic UPMC St. Margaret 28 Pa. Code § 153.1 3.1-7.2.2.1 corridor width 03/12/11 granted Mercy Suburban 28 Pa. Code § 153.1 3.6-3.2.2 space 03/12/11 denied Hospital Out Patient requirements Cancer Center Heritage Valley Beaver 28 Pa. Code § 153.1 19.2.2.2.4 (delayed egress locks) 03/12/11 not necessary Millcreek Community 28 Pa. Code § 153.1 2.1-8.7.2.3 elevator 03/12/11 granted Hospital dimension Doylestown Hospital 28 Pa. Code § 153.1 2.2-2.10.4.2 isolation 03/12/11 granted room (granted for 6 mo.);
2.2-2.10.7.1 staff toilet room (granted for 6 mo.);
2.2-2.10.6.12 janitor's closet (granted for 6 mo.);
2.2-2.11.2.2(1) space requirementsConemaugh Valley 28 Pa. Code § 153.1 2.2-3.5.2.2(b) cardiac 03/12/11 granted Memorial Hosp catheterization lab Jefferson Regional 28 Pa. Code § 153.1 2.2-2.16.2.2, 2.16.2.6, 03/12/11 denied Medical Center Bariatric 2.16.2.9 bariatric programs Jefferson Regional 28 Pa. Code § 153.1 2.2-3.4.4.2 design 03/12/11 granted Medical Center Waterfront configuration of MRI Medical Bldg—Imaging Center suite Jefferson Regional 28 Pa. Code § 153.1 2.2-3.4.3.5 03/12/11 granted Medical Center Mammography hand Waterfront Medical washing station; Bldg Imaging Center 2.2-3.4.4.4 MRI hand washing station;
2.2-3.4.6.5 CT scanner hand washing stationJefferson Regional 28 Pa. Code § 153.1 3.1-7.2.2.1(1) corridor 03/12/11 granted Medical Center width Waterfront Medical Bldg—Imaging Center Jefferson Regional 28 Pa. Code § 153.1 2.2-3.4.5.1 space 03/12/11 granted Medical Center requirements Waterfront Medical
Bldg—Imaging CenterJefferson Regional 28 Pa. Code § 153.1 2.2-3.4.5.2 hand 03/12/11 granted Medical Center washing station, Waterfront Medical ultrasound procedure Bldg—Imaging Center room;
2.2-3.4.5.3 patient toiletJefferson Regional 28 Pa. Code § 153.1 2.2-3.4.3.5 hand 03/12/11 granted Medical Center washing station X-ray Jefferson Medical Arts room; Bldg—Imaging Center 2.2-3.4.4.4 hand washing station MRI;
2.2-3.4.6.5 hand washing station
General, CT Scanner & Bone DensityJefferson Regional 28 Pa. Code § 153.1 2.2-3.4.4.2 design 03/12/11 granted Medical Center Jefferson Medical Arts Bldg—Imaging Center configuration of MRI suite Jefferson Regional 28 Pa. Code § 153.1 3.1-7.2.2.1(1) corridor 03/12/11 granted Medical Center width Jefferson Medical Arts
Bldg—Imaging CenterJefferson Regional 28 Pa. Code § 153.1 2.2-3.4.5.1 space 03/12/11 granted Medical Center requirements Jefferson Medical Arts Bldg—Imaging Center Jefferson Regional 28 Pa. Code § 153.1 2.2-3.4.5.2 hand 03/12/11 granted Medical Center washing station; Jefferson Medical Arts 2.2-3.4.5.3 patient toilet Bldg—Imaging Center Butler Memorial 28 Pa. Code § 153.1 2.2-3.5.2.1 cardiac 04/02/2011 granted Hospital catheterization lab York Hospital 28 Pa. Code §§ 153.4 and 101.31(7) MR studies, on-site
facilities05/15/10 granted with provisions Ambulatory Surgical Facilities Dermatologic SurgiCenter 28 Pa. Code § 416.50(a)(1)(i) 03/12/11 denied Philadelphia and (ii) and (2) Hershey Endoscopy 28 Pa. Code § 551.3(ii) definitions 01/29/11 granted Center patients Digestive Health and
Endoscopy Center, Inc28 Pa. Code § 551.3 definitions 03/12/11 granted Surgical Specialty Center 28 Pa. Code § 551.21(d)(3) criteria for ambulatory 01/29/11 granted surgery Fairgrounds Surgical 28 Pa. Code § 551.21(3) criteria for ambulatory 01/29/11 granted Center surgery Pine Grove Ambulatory 28 Pa. Code § 551.21(d) criteria for ambulatory 02/08/11 granted Surtgical Center, LLC surgery Summit Surgery Center 28 Pa. Code § 551.22 criteria for performance 01/29/11 granted of ambulatory surgery on pediatric patients Surgery Center of the 28 Pa. Code § 551.52 ASF responsibilities 01/29/11 granted Main Line Conyngham Valley 28 Pa. Code § 551.53 presurvey preparation 03/12/11 granted SurgiCenter, PC Holy Spirit Endoscopy 28 Pa. Code §§ 553.1—553.4 governing body bylaws 03/12/11 granted Center Surgery Center of the 28 Pa. Code §§ 553.1—553.4 governing body bylaws 01/29/11 granted Main Line Hillside Endoscopy, LLC 28 Pa. Code § 553.3 governing body 01/29/11 granted responsibilities Carlisle Outpatient 28 Pa. Code §§ 553.3, governing body 03/12/11 granted Surgery Center 553.3(5) and 553.3(5)(ii) responsibilities Surgery Center of the 28 Pa. Code § 553.31 admin responsibility 01/29/11 granted Main Line UPMC Monroeville 28 Pa. Code § 553.31 administrative 01/29/11 granted Surgery Center responsibilities Surgery Center of the 28 Pa. Code §§ 555.1—555.4 medical staff bylaws 01/29/11 granted Main Line and rules & regulations Holy Spirit Endoscopy 28 Pa. Code §§ 555.1—555.4 medical staff bylaws 03/12/11 granted Center and rules & regulations Surgery Center of the 28 Pa. Code §§ 557.2—557.4 quality assurance 01/29/11 granted Main Line and improvement Surgery Center of the 28 Pa. Code § 561.2 pharmaceutical service 01/29/11 granted Main Line Surgery Center of the 28 Pa. Code §§ 563.1 principle 01/29/11 granted Main Line 563.2 organization and records staffing Surgery Center of the 28 Pa. Code § 567.2 infection control— 01/29/11 granted Main Line committee responsibilities East Side Surgery Center 28 Pa. Code § 569.35 general safety 01/29/11 granted precautions M. S. Hershey Medical 28 Pa. Code § 571.1 3.1-7.2.2.2 ceiling ht 02/26/11 granted Center's Colonnade ASC State College Nursing Care Facilities Highland Ctr, Genesis 28 Pa. Code § 201.3 definitions 08/28/2010 granted Eldercare Redstone Highlands 28 Pa. code § 201.3 definitions 10/23/2010 granted Health Care Normandie Ridge 28 Pa. Code § 201.3 definitions 10/23/2010 granted StoneRidge Popular Run 28 Pa. Code § 201.3 definitions 11/06/2010 granted StoneRidge Towne Centre 28 Pa. Code § 201.3 definitions 11/06/2010 granted Fulton County Med Center 28 Pa. Code § 201.3 definitions 12/11/2010 granted Sacred Heart Hospital 28 Pa. Code § 201.18(e) management 11/27/2010 granted Transitional Wood River Village 28 Pa. Code § 201.18(e) management 03/19/2011 granted Heritage Towers 28 Pa. Code § 205.6(a) function of building 08/28/2010 granted Cambria Care Center 28 Pa. Code § 205.6(a) function of building 09/04/2010 granted Evangelical Manor 28 Pa. Code § 205.6(a) function of building 08/21/2010 granted Masonic Village at Sewickley 28 Pa. Code § 205.6(a) function of building 09/04/2010 granted Hempfield Manor 28 Pa. Code § 205.6(a) function of building 09/25/2010 granted Masonic Village at 28 Pa. Code § 205.6(a) function of building 10/23/2010 granted Stapeley St. Paul Homes 28 Pa. Code § 205.6(a) function of building 10/23/2010 granted Trinity Mission Health & 28 Pa. Code § 205.6(a) function of building 01/22/2011 granted Rehab Messiah Village 28 Pa. Code § 205.6(a) function of building 03/05/2011 granted Pine Run Health Center 28 Pa. Code § 205.6(a) function of building 03/05/2011 granted Masonic Village at Sewickley 28 Pa. Code § 205.25(a) kitchen 09/04/2010 granted Evergreen Health Care Center 28 Pa. Code § 205.25(a) kitchen 10/16/2010 granted Malta Home 28 Pa. Code § 205.26(a) laundry 09/25/2010 granted ManorCare Health Services 28 Pa. Code § 205.27 lounge and recreation rooms 10/16/2010 granted York South Willows of Presbyterian 28 Pa. Code § 205.27 lounge and recreation rooms 10/30/2010 granted Seniorcare Church of the Brethren Home 28 Pa. Code § 205.28(c)(1) nurses' station 03/20/2010 granted Masonic Village at Sewickley 28 Pa. Code § 205.28(b) nurses' station 09/04/2010 granted Church of the Brethren Home 28 Pa. Code § 205.28(c)(1) nurses' station 10/02/2010 granted Communities at Indian 28 Pa. Code § 205.28(b) nurses' station 12/11/2010 granted Haven Laurelwood Care Center 28 Pa. Code § 205.28(c)(1) nurses' station 12/18/2010 granted Messiah Village 28 Pa. Code § 205.28(a)
and (b)nurses' station 03/05/2011 granted Masonic Village at E-town 28 Pa. Code § 205.28(b)
and (c)nurses' station 03/19/2011 granted Masonic Village at Sewickley 28 Pa. Code § 205.36(f) bathing facilities 09/04/2010 granted Masonic Village at Sewickley 28 Pa. Code § 205.36(c) bathing facilities 08/21/2010 granted temp. Malta Home 28 Pa. Code § 205.36(f) bathing facilities 09/25/2010 granted Milford Senior Care and 28 Pa. Code § 205.36(h) bathing facilities 10/30/2010 granted Rehab Center Latrobe Health & Rehab Center 28 Pa. Code § 205.36(e) bathing facilities 12/11/2010 granted Malta Home 28 Pa. Code § 205.36(h) bathing facilities 01/22/2011 granted Cumberland Crossing 28 Pa. Code § 205.36(b) bathing facilities 03/19/2011 granted Millcreek Community Hosp 28 Pa. Code § 205.38(b) toilet facilities 02/12/2011 granted Liberty Court, Genesis 28 Pa. Code § 205.38(b) toilet facilities 03/19/2011 denied Eldercare Latrobe Health & Rehab Center 28 Pa. Code § 205.39(a) toilet room equipment 12/11/2010 granted Foxdale Village 28 Pa. Code § 205.67(k) electric requirements for 09/04/2010 granted existing and new construction Wesley Enhanced Living 28 Pa. Code § 205.67(k) electric req. for existing 09/04/2010 granted at Stapeley and new construction Masonic Village at Sewickley 28 Pa. Code § 205.67(k) electric req. for existing 09/04/2010 granted and new construction Normandie Ridge 28 Pa. Code § 205.67(k) electric req. for existing 10/23/2010 granted and new construction Pleasant View Retirement 28 Pa. Code § 205.67(k) electric req. for existing 12/18/2010 granted Community and new construction Normandie Ridge 28 Pa. Code § 205.67(k) electrical req. for existing 02/26/2011 granted and new construction Masonic Village at E-town 28 Pa. Code § 205.67(k) electric req. for existing
and new construction03/19/2011 not required Manor Care Health Services 28 Pa. Code § 211.7(c) and (d) PAs and CRNPs 03/13/2011 denied Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact the Division of Acute and Ambulatory Care or the Division of Nursing Care Facilities at the previously referenced address, or for speech and/or hearing impaired persons V/TT (717) 783-6514, or the Pennsylvania AT&T Relay Service at (800) 654-5984.
ELI N. AVILA, MD, JD, MPH, FCLM,
Acting Secretary
[Pa.B. Doc. No. 11-737. Filed for public inspection April 29, 2011, 9:00 a.m.]
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