INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on April 8, 2026 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, O3QR6701 Ready Willing & Able Philadelphia/Urban Affairs Coalition was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. 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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§ 717.18(c)(3) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
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Observations
Based on review of the staff records the recovery house failed to provide required 90 day training staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer: HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum. These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
1. On April 9, 2026, House Manager (Recovery Program Director) informed our leadership team of the need to have staff members, who are past their first 90 days, complete HIV/AIDS, tuberculosis, and sexually transmitted diseases training using a department approved curriculum.
2. All staff members needing to complete the HIV/Aids training will have it completed by May 29, 2026; their completion certificates will be saved in their personnel file.
3. All staff members needing to complete the TB/STD training will have it completed by July 31, 2026; their completion certificates will be saved in their personnel file.
4. House Manager (Recovery Program Director) will track required employee training courses to ensure all staff complete all required training by their 90th day of employment.
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§ 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 a review of resident records, the recovery house failed to make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (b) 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.Findings: Documentation of contact was not written in record.
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Plan of Correction
1. On April 9, 2026, the house manager (Recovery Program Director) met with Ready Willing and Able Philadelphia's (RWAP) case management team to provide instruction for completing documentation of the call to emergency contacts including the date and time.
2. The house manager will review records weekly to ensure that in the event of an unsuccessful discharge, the emergency contact has been made and documented on the SCA discharge form to ensure that this deficiency does not occur again.
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