INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on May 29, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection ITQL6701 Westminster Homes of Lehigh Valley. 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.
|
Plan of Correction
|
§ 717.18(c)(3) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
|
Observations
Based on review of house manager training the recovery house failed to complete the required training for HIV/AIDS, TB, STD using a Department approved curriculum.
|
Plan of Correction
Westminster as of 6/30/2024 started the Training for HIV/AIDS and is on the waiting list for TB and STD through DDAP approved curriculum site. |
§ 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.
|
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.
Findings: In 1 out of 2 resident discharge files the recovery house failed to notify the emergency contact within 12 hours of residents departure.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
According to Westminster resident contract all residents sign a consent that they are aware that if they are discharge or go missing for whatever reason, Westminster has the consent to contact their Emergency Contact. As of 6/30/2024 Westminster will in force this rule from this point forward
EMERGENCY CONTACT INFORMATION
I acknowledge that Westminster Homes of the Lehigh Valley will attempt to notify my emergency contact if I decide to
end residency, the resident does not return to the house as expected, is hospitalized or deceased. |