INITIAL COMMENTS
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This report is a result of a renewal on-site licensure inspection conducted on April 11, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, L9P46701 TNH Sober Living was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
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Plan of Correction
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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. 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.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
At our staff meeting on 4/17/23 the
Director (House Manager) met with
Peter Fizgerald (District Manager) and
Colin Kerrigan (Operations Manager).
During the meeting the findings were
explained. Moving forward, all
attempts to contact an EC will be
reviewed by the Director and
Operations Manager to ensure contact
has been made during the appropriate
window of time (within the 12 hours of DC).
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