INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on May 27, 2015, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site licensing inspection, Discovery House PA 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(a)(1) LICENSURE Confidentiality
709.28. Confidentiality.
(a) A written procedure shall be developed by the project director which shall comply with 4 Pa. Code 255.5 (relating to projects and coordinating bodies: disclosure of client-oriented information). The procedure shall include, but not be limited to:
(1) Confidentiality of client identity and records.
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Observations
Based on the review of patient grievances and incident reports, the facility failed to maintain the confidentiality of a client identity.
The finding include:
The patient grievances and incident reports were reviewed on May 27, 2015. On April 2, 2015, a patient that was provided with a urine specimen cup discovered that the name on the cup was not hers. The full name of the other patient was visible.
These findings were reviewed with facility staff during the complaint investigation.
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Plan of Correction
Dosing nurses are instructed to destroy any unused specimen cups and re-print label when a patient is ready to provide specimen. This will be immediate and ongoing. Nurse Practitioner will monitor for compliance. |