INITIAL COMMENTS |
This report is a result of an renewal on-site licensure inspection conducted on October 1, 2025 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, S0336701 A New Way Recovery was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing. |
Plan of Correction
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? 717.15(c) LICENSURE House Manager
§ 717.15. House Manager.
(c) The house manager shall complete at least 6 hours of training in one or more of the following areas within 6 months of becoming house manager, and annually thereafter:
(1) Fiscal policy.
(2) Administration.
(3) Program planning.
(4) Quality assurance.
(5) Program licensure.
(6) Personnel management.
(7) Confidentiality.
(8) Ethics.
(9) Trends in drug use and misuse.
(10) Developmental psychology.
(11) Interaction of addiction and mental illness.
(12) Cultural awareness.
(13) Sexual harassment.
(14) Relapse prevention.
(15) Substance use disorders.
(16) Peer support or mutual aid groups.
(17) Best practices for medication control and self-administration.
(18) Infection control.
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Observations The recovery house was found to be in non-compliance for regulation 717.15(c) by failing to complete at least 6 hours of annual house manager training.
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Plan of Correction There will be one person (Jill Feldman) designated as House Manager to minimize any confusion. House Manager will complete the required 6 hours of training before next inspection in the areas offered by DDAP in order to be compliant with regulation 717.15(c). Training Certificates will be submitted to the inspector before the inspection and will be available for the inspector to see at the inspection. |
§ 717.18(a) LICENSURE Training
§ 717.18. Training.
(a) The licensee shall develop and implement written staff development policies and procedures that identify the person responsible and the time frames for completion of the following:
(1) An assessment of training needs for each staff person and volunteer.
(2) A plan for addressing those needs.
(3) A mechanism to collect feedback on completed training.
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Observations The recovery house was found to be in non-compliance for 717.18(a)(3) by failing to collect feedback on completed training.
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Plan of Correction Owner will develop a mechanism to collect feedback on completed trainings. Owner will conduct a short interview with the house manager, staff person or volunteer following each completed training on what they learned and/or understanding of each training. Responses will be recorded on the back of each training certificate and available for the inspector to see at time of inspection. |
§ 717.18(b) LICENSURE Training
§ 717.18. Training.
(b) The licensee shall conduct and document an evaluation of the training plan annually.
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Observations The recovery house was found to be in non-compliance by failing to conduct and document an evaluation of the training plan annually.
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Plan of Correction The owner and house manager shall conduct and document an evaluation of the training plan yearly before each annual DDAP inspection.They shall review the trainings that were completed and decide if those trainings were sufficient, need to be repeated for purposes of reinforcement, or if other trainings will be added or found to be more appropriate for the recovery house. A copy book will be purchased to be used as a Training Manual and will be available for the annual inspection. |