INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection and methadone and buprenorphine monitoring inspection conducted on January 21, 22, 232020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Based on the findings of the on-site inspection, NorthEast Treatment Centers, Inc., 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.
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Plan of Correction
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709.28 (c) (2) LICENSURE Confidentiality
§ 709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent must be in writing and include, but not be limited to:
(2) Specific information disclosed.
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Observations
The facility failed to ensure that all informed and voluntary consent to release information forms to the client's funding source were kept within the restrictions of 4 PA code 255.5 in every client record reviewed.
Client #1 was admitted into the Inpatient level of care on October 11, 2019 and was active at the time of inspection. The consent form, signed and dated by the client on October 11, 2019, allowed for the release of the entire health record.
The findings were discussed with facility staff during the licensing process.
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Plan of Correction
The consent to release will will be kept within the bounds of 255.5. Program director will provide training on confidentiality and information that can be released to government officials, law enforcement units and insurance providers. Program will be in compliance by 3/10/2020.
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