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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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HIGH FOCUS CENTERS
1440 RUSSELL ROAD
PAOLI, PA 19301

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Survey conducted on 02/03/2015

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on February 3, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Rehab Management, 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

709.33(a)  LICENSURE Notification of Termination

709.33. Notification of termination. (a) Project staff shall notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the project. The notice shall include the reason for termination.
Observations
Based on a review of client records, the facility failed to notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the facility in one of four client records reviewed.



The findings include:



Four client records requiring written notification to the client of the facility's decision to involuntarily terminate the client's treatment were reviewed on 2/3/2015. The facility failed to notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the facility in client record #1.



Client # 1 was admitted into treatment on 4/8/2014 and was involuntarily terminated from the facility on 7/15/2014. There was no documentation of written notification of the facility's decision to involuntarily terminate the client's treatment as of the on-site inspection.



These findings were reviewed with facility staff during the licensing process.
 
Plan of Correction
The Facility Director will conduct a staff training on 2-25-15 on the discharge process for clients in treatment. Counselors will be educated about the proper notification to clients when there is an involuntary termination. Facility Director will also educate counselors how to clearly document on letter of discharge that "Client is being discharged" and also clearly state the reasons for termination. Facility Director will randomly audit charts on a monthly basis to ensure that the standard is met. Corrective action will be completed by 5-25-2015.

 
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