INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on December 21, 2023, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, New Insights II, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on a review of administrate documentation, the facility failed to document an annual financial audit of activities associated with the project ' s drug and alcohol abuse services.
There was no documentation of an annual financial audit for the years of 2020, 2021 and 2022.
This is a repeat of citation from the November 17, 2020, January 28, 2022, November 18, 2022 from the licensing inspections.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
The President is responsible for obtaining the services of a certified public accountant to perform a financial audit yearly. A certified public accountant was obtained after a mishap with another and the financial audits for 2020, 2021, and 2022 were completed by them as of December 31, 2023. These audits will be available for review at our next inspection. This certified public accountant has already been retained to complete the audit for 2023. |
709.17(a)(3) LICENSURE Subchapter B.Licensing Procedures.Refusal/rev
709.17. Refusal or revocation of license.
(a) The Department may revoke or refuse to issue a license for any of the following reasons:
(3) Failure to comply with a plan of correction approved by the Department, unless the Department approves an extension or modification of the plan of correction.
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Observations
Based on a review of administrative information, the facility failed to comply with plans of corrections that were approved by the Department. Plans of correction for an annual financial audit of activities associated with the project ' s drug and alcohol abuse services were submitted and approved by the Department for the November 17, 2020, January 28, 2022 and November 18, 2022 annual licensing inspections. During a review of the administrative information, the Department learned that the facility did not follow their plan of correction dated December 14, 2022 in the completion of the annual financial audit of activities associated with the project ' s drug and alcohol abuse services for the years of 2020, 2021 and 2022.
This is a repeat citation from the November 18, 2022 licensing inspection.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
The Executive Assistant is responsible for completing and submitting the Plan of Correction. Every effort was made to comply with the plan of corrections that had been submitted. To ensure this does not happen again, a more reasonable time frame will be used. |