INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on June 29, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, XPM46701 Friendship First 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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§ 717.18(c)(1) 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:
(1) Cardiopulmonary resuscitation (CPR) certification.
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Observations
Based on a review of staff records, the recovery house failed to have the house manager complete CPR training within 90 days of becoming an employee.
This was discussed with recovery house staff after the inspection date but during the renewal process.
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Plan of Correction
House manager signed up for CPR training |
§ 717.18(c)(2) 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:
(2) First aid training, including training on overdose reversal medication.
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Observations
Based on a review of staff records, the recovery house failed to have the house manager complete First aid training, including training on overdose reversal medication within 90 days of becoming an employee.
This was discussed with recovery house staff after the inspection date but during the renewal process.
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Plan of Correction
House manager signed up for First Aid and overdose reversal training |
§ 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.
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Observations
Based on a review of staff records, the recovery house failed to have the house manager complete HIV/Aids, tuberculosis and sexually transmitted disease training using a Department approved curriculum within 90 days of becoming an employee.
This was discussed with recovery house staff after the inspection date but during the renewal process.
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Plan of Correction
House manager signed up for training |