INITIAL COMMENTS
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This report is a result of an initial on-site licensing inspection conducted on March 30, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the initial inspection, Independent Family Services, Inc., was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
The following deficiencies were identified.
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Plan of Correction
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704.11(c)(2) LICENSURE CPR CERTIFICATION
704.11. Staff development program.
(c) General training requirements.
(2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
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Observations
Based on a review of facility documentation of CPR/First Aid certification for facility staff, the facility failed to ensure that at least one person trained in CPR skills was onsite during the project's hours of operation.
The findings include:
The facility was not able to produce documentation of staff certification for CPR and training for first aid. The facility was not able to demonstrate that at least one person with current CPR certification and first aid training would be on site during all hours of operation.
The Project Director confirmed on March 30, 2012 that drug and alcohol treatment and administrative staff did not have current CPR certification.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |