INITIAL COMMENTS
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This report is a result of an recovery complaint investigation conducted on June 3, 2024 through June 4, 2024by staff from the Bureau of Program Licensure. Based on the findings of the complaint investigation, Safe Haven was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717, which pertains to the recovery house.
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Plan of Correction
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§ 717.24 LICENSURE Medication control and self-administration
§ 717.24. Medication control and self-administration. The licensee shall develop and implement written policies and procedures on the use of prescription and over-the-counter medications by residents, which must include:
(1) Self-administration of medication for residents who take medication.
(2) Safe storage of medication by the drug and alcohol recovery house and residents and procedures to address loss, theft, abandonment or misuse of medications. The policy must provide that controlled substances stored at the drug and alcohol recovery house will be kept in a locked container.
(3) Safe disposal of unused, expired or abandoned medication, in accordance with State and Federal regulations.
(4) Emergency procedures if an adverse medication reaction or overdose occurs on premises. The licensee shall have and make available overdose reversal medication on the premises of the drug and alcohol recovery house at all times.
(5) Prohibition on sharing prescription medication.
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Observations
Based on a review of policies and procedures, resident interviews and staff interviews it was found the recovery house did not adequately document their procedures to address loss, theft, abandonment or misuse of medications. These findings were reviewed with the recovery house during the investigation.
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Plan of Correction
House manager has implemented updated and approved Medication policy as of 06/07/2024 to address specific time frames for addressing safe storage of medication by the drug and alcohol recovery house and residents and procedures to address loss, theft, abandonment or misuse of medications. |