INITIAL COMMENTS
|
This report is a result of an off-site complaint investigation conducted on 8/2/2024, by staff from the Bureau of Program Licensure. Based on the findings of the off-site complaint investigation, F1066701 Gibson Foundation was found not to be in compliance with the applicable chapters of 28 PA Code Chapter 717 which pertain to the recovery house, a Plan of Correction is required.
|
Plan of Correction
|
§ 717.24 LICENSURE Medication control and self-administration
§ 717.24. Medication control and self-administration. The licensee shall develop and implement written policies and procedures on the use of prescription and over-the-counter medications by residents, which must include:
(1) Self-administration of medication for residents who take medication.
(2) Safe storage of medication by the drug and alcohol recovery house and residents and procedures to address loss, theft, abandonment or misuse of medications. The policy must provide that controlled substances stored at the drug and alcohol recovery house will be kept in a locked container.
(3) Safe disposal of unused, expired or abandoned medication, in accordance with State and Federal regulations.
(4) Emergency procedures if an adverse medication reaction or overdose occurs on premises. The licensee shall have and make available overdose reversal medication on the premises of the drug and alcohol recovery house at all times.
(5) Prohibition on sharing prescription medication.
|
Observations
Based on a complaint investigation conducted by phone with staff, the recovery house failed to prevent the misuse and sharing of medication.
|
Plan of Correction
Effective immediately the site manager will ensure that each staff is informed not to give out any over the counter medications to any resident. All medications the resident takes are to be documented and signed by the staff monitoring the medication. Periodic inspections of logs will be made by the program manager to ensure proper documentations are done. The employee who allegedly gave a resident medication that was not prescribed has been terminated for violating our medication monitoring policy and documentation procedure. We have - Changed our medication monitoring policy to include that no staff is to supply any house medication or suggest any type of medical advice to residents, our policy suggests you seek medical attention or advice from medical professionals.
- Made our Medication Log larger and clearer.
- Had our staff complete two suggested trainings, Documentation training and Recovery House records retention training.
- Created a reminder poster about our policy on house medication and placed it in our office so that both existing staff, new staff and residents can view it.
|