INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 15, 2026 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, U4U56701 Savage Sisters was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertain Recovery House licensing. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on review of the resident records the recovery house failed to notify residents shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The deficiency was corrected on 9/15/2026 by updating the Savage Sisters Discharge Form to include language informing residents that they have the opportunity to request that the licensee reconsider a decision to end residency before the decision takes effect. The updated Discharge Form has been in use since 9/15/2026 and will be used for all residents moving forward. Property Managers are responsible for ensuring the updated form is utilized and will periodically review resident records to verify continued compliance with § 717.23. The facility has been in full compliance with this requirement since 9/15/2026.
Discharge Form:https://docs.google.com/forms/d/1r1pCKNm31PIrmRA55XQ6NVzCblc806dzz36fBqfd-0g/ |
§ 717.27 LICENSURE Notification to family or emergency contact
§ 717.27. Notification to family member or emergency contact.
(a) The licensee shall develop and implement written policies and procedures that specify the methods and circumstances, including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent. The resident may revoke consent to provide notice to the emergency contact.
(b) The licensee shall make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
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Observations
Based on review of the resident records the recovery house failed to document one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
These findings were reviewed with the recovery house staff during the licensing process
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Plan of Correction
The deficiency was corrected on 9/15/2026 by updating the Savage Sisters Discharge Form to include a section documenting the date and time of the attempt to notify the resident's emergency contact. The updated Discharge Form has been in use since 9/15/2026 and will be used for all resident discharges moving forward. Property Managers are responsible for ensuring emergency contact notification attempts are made within the required timeframe and documented on the Discharge Form. Property Managers will periodically review resident records to verify continued compliance. The facility has been in full compliance with this requirement since 9/15/2026.
Discharge Form: https://docs.google.com/forms/d/1r1pCKNm31PIrmRA55XQ6NVzCblc806dzz36fBqfd-0g/ |