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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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DUNMORE COMPREHENSIVE TREATMENT CENTER
118 MONAHAN AVENUE
DUNMORE, PA 18512

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Survey conducted on 11/20/2017

INITIAL COMMENTS
 
This report is a result of a project-wide policy review conducted on November 20-21, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Habit OPCO, Inc. was found to be not 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

709.30 (1)  LICENSURE Client rights

§ 709.30. Client rights. The project shall develop written policies and procedures on client rights and document written acknowledgement by clients that they have been notified of those rights. (1) A client receiving care or treatment under section 7 of the act (71 P. S. § 1690.107) shall retain civil rights and liberties except as provided by statute. No client may be deprived of a civil right solely by reason of treatment.
Observations
After a review of the project's client rights policy, the project failed to include the following elements:



(3) Clients have the right to inspect their own records. The project, facility or clinical director may temporarily remove portions of the records prior to the inspection by the client if the director determines that the information may be detrimental if presented to the client. Reasons for removing sections shall be documented in the record.



(4) Clients have the right to appeal a decision limiting access to their records to the director.



(5) Clients have the right to request the correction of inaccurate, irrelevant, outdated or incomplete information in their records.



(6) Clients have the right to submit rebuttal data or memoranda to their own records.

These findings were reviewed with facility staff.
 
Plan of Correction
Dunmore CTC will review its patients' rights policy draft and add edits to include the noted observations under § 709.30 to ensure that all elements are contained within. This revision will be completed, along with a presentation of the same to all staff and patients; the latter via inclusion in the mandatory policy and procedures group and posting within the Center on the Patient bulletin board. Said revisions to policy to be completed by January 1, 2018.

 
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