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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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PYRAMID HEALTHCARE INC. PINE RIDGE
13505 SOUTH EAGLE VALLEY ROAD
TYRONE, PA 16686

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Survey conducted on 12/18/2007

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on December 17 through 18, 2007 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Pyramid Healthcare Inc. Pine Ridge 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 and a plan of correction is due on January 25, 2008.
 
Plan of Correction

709.53(a)(3)  LICENSURE Records of Service

709.53. Client records. (a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following: (3) Record of services provided.
Observations
Based on a December 17 through 18, 2007 review of client records, the facility failed to document the duration of group therapy sessions in four of four client records reviewed, # 1, 2, 3 and 4.
 
Plan of Correction
Program Director directed Administrative asistant on December 19, 2007 to modify record of service to include duration of group therpay sessions. Document was implemented on 12/31/2007. Counselors will be responsible for completing record of service for group therapy by initialing as well as marking the duration for each group session. Group therapy lasts approximately one and one half hours.

Program Director will monitor charting procedures monthly to ensure records of service are being recorded appropriately.

 
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