Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection. The inspection will be divided into two parts. 1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist. 2, an abbreviated on-site inspection, will be conducted on-site at a later date and will include a review of client/patient records, and a physical plant inspection.This report is a result of Part 2, an abbreviated on-site inspection, conducted on September 17 &18, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations were reviewed during Part 1.Based on the findings of Part 2, an abbreviated on-site inspection, Coatesville Treatment Center 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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Observations
Based on a review of patient records, the facility failed to obtain an informed and voluntary consent to release information form prior to the disclosure of information in one of eleven patient records reviewed.Patient #5 was admitted on April 16, 2019 and was discharged August 5, 2020. There was a consent form to the funding source signed by the client on April 16, 2019 and expired April 16, 2020. There was evidence of billing from the date of expiration through the date of discharge.The findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
The release of information was missed. Clinical Supervisors provided a refresher training on consent to release, due dates and renewals for required releases. Clinical Supervisors will conduct monthly random chart audits to review clinical documentation and ensure nothing is missing. Counselors will be given chart corrections as needed to complete within the required timeframe. |