This report is a result of an onsite follow-up inspection regarding the plans of correction for the January 14, 2010 licensure renewal inspection. The follow-up inspection was conducted on May 20 - 21, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the onsite follow-up inspection, Discovery House - Nc, 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 and a plan of correction is due on June 18, 2010.
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Plan of Correction
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Observations
Based on an interview with the facility director during a plan of correction follow up inspection, the project failed to complete an audit by year end, December 31, 2008.
The findings include:
The facility director was interviewed on May 20, 2010, at approximately 9:00 AM. Per regulation, the project shall obtain the services of an independent public accountant for an annual audit of financial activities associated with the project's drug/alcohol abuse services.
The facility director confirmed that an annual audit had not been completed by the project for 2008.
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Plan of Correction
Discovery House will conduct an audit for FY 2010. We will submit a 2009 compellation review and an engagement letter for 2010. The Program Director will be responsible to monitor compliance. |