INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 9, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Lehigh Valley Drug and Alcohol Intake Unit 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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709.28(c) LICENSURE Confidentiality
709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to:
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Observations
Based on a review of client records, the facility failed to obtain an informed and voluntary consent that includes all of the content required by regulation in one of ten client records reviewed.
The findings include:
Ten client records requiring informed and voluntary consent to release information forms were reviewed on 3/9/2015. The facility failed to document an informed and voluntary consent to release information form in client record # 9.
Client # 9's date of intake was 1/15/2015. The facility faxed 14 pages of documentation to the Northampton Single County Authority for the purpose of funding authorization for the client. The facility failed to document an informed and voluntary consent to release information with the client regarding the release of funding authorization documentation to the Northampton Single County Authority.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Executive Director will hold an inservice on confidentiality specfically to discuss release of information form and need to complete prior to sending any informaiton to an outside source. Inservice date is scheduled for thursday April 16, 2015. All staff will be in attendance. The file clerk will also attend and check all files to assure compliance. Weekly File reviews by the file clerk will be given to the Executive Director for review on a quarterly basis. Confidentiality compliance will be discussed at all monthly staff meetings. |