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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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WELLSPAN PHILHAVEN
1101 EDGAR STREET
YORK, PA 17403

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Survey conducted on 03/28/2007

INITIAL COMMENTS
 
This is a report of the on-site licensure renewal inspection conducted on March 26 and 28, 2007 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on April 24, 2007.
 
Plan of Correction

711.93(a)(6)  LICENSURE Aftercare Plans

711.93. Client records. (a) Record requirements. There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. In addition to the requirements in 115.32 (relating to contents), the client record shall include the following: (6) Aftercare plans, if applicable.
Observations
An aftercare plan was missing in one of one client record reviewed, #6.
 
Plan of Correction
All clinicians were reminded that, per DAPL regulation 711.93(a)(6), aftercare plans must be completed for all clients who are leaving formal treatment. If a client leaves treatment AMA, refuses to participate in an aftercare plan, or is being referred to another facility for further treatment, an aftercare plan does not need to be completed, however, this action should be documented in the client record. The facility director will be responsible for implementing the plan of correction and for monitoring for ongoing compliance.

 
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