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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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LEBANON COMPREHENSIVE TREATMENT CENTER
243 SCHNEIDER DRIVE
LEBANON, PA 17046

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Survey conducted on 07/07/2020

INITIAL COMMENTS
 
This report is a result of a complaint investigation conducted on June 11 through July 7, 2020, by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention & Treatment. Based on the findings of the investigation, Lebanon Treatment Center, 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 investigation and a plan of correction is required.
 
Plan of Correction

715.14(c)  LICENSURE Urine testing

(c) A narcotic treatment program shall develop and implement policies and procedures to minimize misidentification of urine specimens and to ensure that the tested specimens can be traced to the donor.
Observations
Based on a communication with the facility staff and information received from complainants, the facility failed to follow their policy for promptly removing UDS samples from the collection area prior to another client being able to access this area while providing a sample, which increased the chance of misidentification of or tampering with specimens.
 
Plan of Correction
Upon request for UDS, nursing staff provides patient with urine cup and seal for cup. Upon submission of sample, nurse immediately goes into lab area to verify and collect sample, which is placed into refrigerator until pick up.



Nurse supervisor is responsible for monitoring nursing staff and ensuring that this procedure is followed for each submission.

 
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