This report is a result of an on-site licensure renewal inspection conducted on April 13-15, 17, and 20-22, 2026, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Cen-Clear Child Services, 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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Observations
Based on a review of client records, the facility failed to document follow-up information in two of four applicable records.
The facility's policy and procedures state a follow-up call will be made, and questionnaire will be sent to the client within 30 days, and another one at 6 months.
Client #2 was admitted to the outpatient level of care on October 21, 2025, and discharged on March 11, 2026. A follow-up call was due no later than April 11, 2026; however, it was completed on April 13, 2026.
Client #4 was admitted to the outpatient level of care on October 22, 2025, and discharged on January 9, 2026. A follow-up call was due no later than February 9, 2026; however, it was completed on February 10, 2026.
These findings were reviewed with the facility staff during the licensing process.
This is a repeat citation from the April 14-16, 2025, licensing inspection.
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Plan of Correction
Director spoke with staff regarding follow up calls and provided training on calculation of dates for follow up calls that included accounting for longer months with 31 days and shorter months with fewer than 30 days in order to ensure that the dates for follow up calls were calculated correctly. Staff responsible for the follow up calls were also provided an excel spreadsheet that calculates the date accurately. Staff were also re-educated on completing follow up calls earlier when the date falls on a weekend or holiday.
The Lead Navigator and Clinical Supervisors will monitor compliance with follow-up call completion and date calculations on an ongoing basis through regular chart reviews and monthly supervisions. In addition, the SUD Director will conduct monthly monitoring to ensure continued compliance with DDAP requirements and implementation of corrective actions. |