INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on April 30, 2025, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Family Services of Warren County, 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) 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.
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Observations
Based on a review of client records, the facility failed to obtain a consent to release information form prior to releasing information in one of seven records.
Client #2 admitted on August 12, 2024, and discharged February 11, 2025. There was no consent to release information form for the funding source. Facility staff confirmed billing had occurred.
These findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
The Compliance Officer will review the required releases with all staff during supervision by 6/1/25. The Compliance Officer will create a checklist for intakes to ensure all required releases are obtained and begin utilizing the checklist by 6/30/25. All Clinicians and Support Staff will complete DDAP confidentiality training by 7/30/25. |