INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on May 29, 2025 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)(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
The licensee was found to be in non-compliance for regulation 717.18(c)(3) by failing to submit documentation at the time of inspection for completion of tuberculosis and sexually transmitted diseases training using a Department approved curriculum within 90 days of becoming an employee or volunteer.
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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Plan of Correction
House Manager will ensure Staff Records are up to date at the time of inspection with all required training certificates presented to DDAP at the time of Pre-Submission and/or the date of the inspection |