INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on March 17, 2009 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site complaint investigation, Harwood House 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 investigation and a plan of correction is due on May 5, 2009.
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Plan of Correction
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709.26(a)(7) LICENSURE Personnel Management
709.26. Personnel management.
(a) The governing body shall adopt and have implemented written project personnel policies and procedures which include, but are not limited to:
(7) Rules of conduct.
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Observations
Based on a review of the facility's policy and procedure manual, the facility failed to follow their written policy and procedure regarding rules of conduct.
The findings include:
The facility's policy and procedure manual was reviewed on March 17, 2009. Staff interviews were also conducted on March 17, 2009. According to number seventeen in the facility's Rules of Conduct policy, "No employee shall date, become socially involved with, attempt to become socially involved with, or become sexually or romantically involved with any resident. This shall be in effect for a period of one (1) year following the client's discharge from treatment." Based on staff interviews, a client's allegations and documentation of telephone records provided by the client, the facility director violated this written policy by becoming involved with a client while the client was in treatment and immediately following the client's discharge from treatment.
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Plan of Correction
As a result of the allegations and outcome of the investigation Director was terminated.
Newly appointed Director reviewd policy entitled Rules of Conduct at staff meeting.
Sexual Harassment training was conducted on 4/27/9 by HR consultant from resources of Human Development (credentials on site)
Director will monitor overall staff compliance. Board of Directors will monitor overall compliance.
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709.26(a)(8) LICENSURE Personnel Management
709.26. Personnel management.
(a) The governing body shall adopt and have implemented written project personnel policies and procedures which include, but are not limited to:
(8) Disciplinary actions.
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Observations
Based on a review of the facility's policy and procedure manual, the facility failed to follow their written policy and procedure regarding disciplinary actions.
The findings include:
The facility's policy and procedure manual was reviewed on March 17, 2009. Staff interviews were also conducted on March 17, 2009. According to number four in the the facility's policy titled Infractions Resulting in Termination of Employment, "Any sexual and/or romantic involvement between staff and any resident. This shall include efforts to date and/or become socially involved with a client or former client. This prohibition shall remain in effect for a period of one (1) year after the client has been discharged." Based on staff interviews, a client's allegations and documentation from the client of phone records, the facility director violated this written policy by becoming involved with a client while the client was in treatment and immediately following the client's discharge from treatment. The facility violated this procedure when they did not terminate the facility director's employment.
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Plan of Correction
As a result of the allegations and outcome of the investigation Director was terminated.
Newly appointed Director reviewd policy entitled Infractions Resulting in Termination of Employment at staff meeting.
Sexual Harassment training was conducted on 4/27/9 by HR consultant from resources of Human Development (credentials on site)
Director will monitor overall staff compliance. Board of Directors will monitor overall compliance.
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