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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA MONTGOMERY COUNTY OUTPATIENT
166 WEST MAIN STREET
NORRISTOWN, PA 19401

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Survey conducted on 06/12/2012

INITIAL COMMENTS
 
This report is a result of a supervisory review of the written report of the findings of an on-site licensure inspection that was conducted on May 24, 2012, by staff from the Division of Drug and Alcohol Program Licensure. Based on the supervisory review of findings from the on-site inspection, Gaudenzia Montggomery County Outpatient 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 supervisory review:
 
Plan of Correction

709.25(a)  LICENSURE Fiscal Management

709.25. Fiscal management. (a) 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.
Observations
Based upon the review of Administrative documentation, the project failed to have an annual audit of financial activities associated with the project's drug/alcohol abuse services completed upon conclusion of the fiscal year.



The findings include:



Licensing Staff conducted an Administrative Review from May 7 - 9, 2012.



Administrative documentation specified that the fiscal year runs from July 1 to June 30. However, the project's annual fiscal audit was late as it was completed February 20, 2012.



The findings were reviewed during the exit interview for the Administrative Review and were not disputed.
 
Plan of Correction
At the most recent Audit Committee meeting, the necessity that all future financial audits must be completed within required timeframes was reinforced with the external independent public accountant. These timeframes were acknowledged by the independent public accountant and recorded in the meeting minutes. The Director of Finance and Accounting will maintain oversight throughout the auditing process to ensure completion in a timely manner." The Financial Audit for Fiscal Year 2011-2012 will be completed within 6 months after the June 30th close of Gaudenzia's fiscal year (by December 31st, 2012) as per Chapter 709.25(a).

 
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