INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 10, 2022 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Allied Addiction Recovery, LLC 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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709.91(b)(2)(ii) LICENSURE Intake and admission
709.91. Intake and admission.
(b) Intake procedures shall include documentation of:
(2) Client orientation to the project which shall include, but is not limited to, a familiarization with the following:
(ii) Hours of operation.
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Observations
Based on a review of client records, the facility failed to include documentation of a client orientation which includes familiarization of hours of operation in three out of seven records reviewed.
Client #4 was admitted on July 21, 2021 and was still active at the time of the inspection.
Client #6 was admitted on March 31, 2021 and discharged on April 14, 2021.
Client #7 was admitted on May 12, 2021 and discharged on July 26, 2021.
The findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Clinical Director has added a page to the current client orientation paperwork to include hours of operation for each office as each offices services are offered at different times. Client will sign that they received that information and it will remain in their clinical chart. Reviewed with all staff on 5/24/2022 |
709.91(b)(2)(iii) LICENSURE Intake and admission
709.91. Intake and admission.
(b) Intake procedures shall include documentation of:
(2) Client orientation to the project which shall include, but is not limited to, a familiarization with the following:
(iii) Fee schedule.
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Observations
Based on a review of client records, the facility failed to include documentation of a client orientation which includes familiarization of fee schedule in three out of seven records reviewed.
Client #4 was admitted on July 21, 2021 and was still active at the time of the inspection.
Client #6 was admitted on March 31, 2021 and discharged on April 14, 2021.
Client #7 was admitted on May 12, 2021 and discharged on July 26, 2021.
The findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Current Fee schedules are posted in all offices. Clinical Director has added the current fee schedules to the client orientation packet and client will sign that they received that information and that will remain in their current chart. Reviewed with all staff on 5/24/2022 |
709.91(b)(2)(iv) LICENSURE Intake and admission
709.91. Intake and admission.
(b) Intake procedures shall include documentation of:
(2) Client orientation to the project which shall include, but is not limited to, a familiarization with the following:
(iv) Services provided.
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Observations
Based on a review of client records, the facility failed to include documentation of a client orientation which includes familiarization of services provided in three out of seven records reviewed.
Client #4 was admitted on July 21, 2021 and was still active at the time of the inspection.
Client #6 was admitted on March 31, 2021 and discharged on April 14, 2021.
Client #7 was admitted on May 12, 2021 and discharged on July 26, 2021.
The findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Clinical director has added a page to the client intake packet that includes all services offered at the facility. The client will then sign off that they have received that information and it will remain in their clinical chart. Reviewed with all staff on 5/24/2022. |