Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 1, an abbreviated off-site inspection, conducted on June 3, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.
Based on the findings of Part 1, an abbreviated off-site inspection, Resources for Human Development Inc. Morris House, 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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Observations
Based on the review of personnel records and the Staffing Requirements Facility Summary Report, the facility failed to provide documentation that an individual training plan, for the current training year, was developed with input from both the employee and the supervisor, in one of four personnel records reviewed.
Employee # 1 was hired as the Facility Director on February 18, 2018. The training plan was signed by the employee on June 14, 2019, but the plan did not include the supervisor's signature.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Director will work with the Assistant Regional Director and Regional Director to ensure that training plans are reviewed and signed by appropriate supervisors as a part of the annual training development process. The update for the the current training plan will be reviewed and signed by the Director and Supervisor by 7/15/2020. Additionally, the Director will review the process with her supervisor to ensure the signatures are in place during a divisional directors meeting on 7.2.2020. |