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 Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Abstinent Living at the Turning Point at Washington, Inc. 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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704.11(d)(1) LICENSURE Training Req-Proj/Fac Directors
704.11. Staff development program.
(d) Training requirements for project directors and facility directors.
(1) Subject areas for training shall be selected according to the training plan for each individual.
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Observations
Based on a review of staff records, the facility failed to provide documentation of at least twelve clock hours of annual training required for the project and facility director for the training year July 2024-June 2025 in one of one records.
Staff #1 was hired as the project and facility director on March 1, 1991 and was still in this position at the time of the inspection. During the review of the staff record, only included documentation of eleven training hours.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Business Manager confirms that Staff # 1 missed the number of required training hours by 1 hour. The requirement of 12 training hours annually has been communicated with Staff #1, and Staff #1 will ensure they have the required training hours in the future. Additionally, all other clinical staff has been reminded of the required annual training hours and they will ensure they have the required training hours.
This will be monitored and supervised by the Business Manager, Admissions Director and the Project Director.
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705.10 (d) (4) LICENSURE Fire safety.
705.10. Fire safety.
(d) Fire drills. The residential facility shall:
(4) Maintain a written fire drill record including the date, time, the amount of time it took for evacuation, the exit route used, the number of persons in the facility at the time of the drill, problems encountered and whether the fire alarm or smoke detector was operative.
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Observations
Based on a review of the facility ' s fire drill logs for the months of April 2025 through March 2026, the facility failed to maintain a written fire drill record that included the date of drill, the amount of time it took for evacuation, and whether the fire alarm or smoke detector was operative for the February 2026 fire drill.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Admissions Director confirms that the staff member who conducted the February 2026 fire drill did not properly document all details on the fire drill log. The Admissions Director confirms that all staff has been re-trained on the importance of conducting fire drills appropriately and completing all required information to the fire drill log.
This will be overseen by the Admissions Director, Business Manager, RE Supervisor and the Project Director.
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705.10 (d) (8) LICENSURE Fire safety.
705.10. Fire safety.
(d) Fire drills. The residential facility shall:
(8) Set off a fire alarm or smoke detector during each fire drill.
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Observations
Based on a review of the facility ' s fire drill logs for the months of April 2025 through March 2026, the facility failed to set off a fire alarm or smoke detector during the February 2026 fire drill.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Admissions Director confirms that the staff member who conducted the February 2026 fire drill did not properly document all details on the fire drill log. The Admissions Director confirms that all staff has been re-trained on the importance of conducting fire drills appropriately, to include setting the alarm off, and documenting all required information on the fire drill log.
This will be overseen by the Admissions Director, Business Manager, RE Supervisor and the Project Director.
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709.52(b) LICENSURE TX Plan update
709.52. Treatment and rehabilitation services.
(b) Treatment and rehabilitation plans shall be reviewed and updated at least every 30 days. For those projects whose client treatment regime is less than 30 days, the treatment and rehabilitation plan, review and update shall occur at least every 15 days.
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Observations
Based on client records reviewed, the facility failed to review and update the treatment and rehabilitation plan at least every thirty days in two of six applicable records.
Client #1 was admitted on October 31, 2025 and was still active at the time of the inspection. A treatment and rehabilitation plan update was completed on February 28, 2026. The next treatment and rehabilitation plan update was due no later than March 28, 2026; however, this was not completed until March 31, 2026.
Client #5 was admitted on May 22, 2025 and was discharged on September 23, 2025. A treatment and rehabilitation plan update was completed on August 22, 2025. The next treatment and rehabilitation plan update was due no later than September 22, 2025; however, this was not completed prior to discharge.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Admissions Director confirms that the treatment and rehabilitation plan updates for Client #1 and Client #5 were not done on time. All clinical staff has been retrained on timely completion of treatment and rehabilitation plan updates.
This will be overseen by the Admissions Director, Clinical Supervisor and the Project Director.
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