INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on July 28-29, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Cen-Clear Child Services, 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.
|
Plan of Correction
|
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:
|
Observations
Based on a review of client records, the facility failed to obtain an informed and voluntary consent from the client in one of seven client records.
The findings include:
Seven client records were reviewed on July 28-29, 2014. All seven client records were required to include an informed and voluntary consent from the client prior to the disclosure of information. A consent to release information was not obtained in record #3.
Client #3 was admitted to treatment on 1-27-2014, and was discharged on 7-18-2014. A release of information for a funding source was not obtained prior to disclosure.
The findings were reviewed with the director and were not disputed.
|
Plan of Correction
The Program director contacted the identified client and disclosed to he/she that confidential information was exchanged with her funding source for payment while in treatment. The Program Director in staffing on 8-5-14 also retrained all staff in confidentiality and the process of obtaining the needed the documentation before a disclosure can occur. The client did come into office and sign a confidentiality statement for future contacts with this particular funding source if needed. Chart reviews for current documentation will occur on a monthly basis to prevent missed paperwork and other documentation. |