INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on December 19, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection FFJ06701 Soulvation Farms was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
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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.
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Plan of Correction
On 12/28/24 the Vice President Board Member reviewed the emergency contact policy with the House Manager. The policy review included where to find the emergency contact information and the time frame of 12 hours or less for notification for the emergency contact. For this citation to not occur again the House Manager will notify the Vice President Board Member immediately in the event requiring notification to the emergency contact. This notification will be documented in the resident record. A weekly review of discharged records will be conducted by the Vice President Board Member to ensure that the requirement is met. |