INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on February 16, 2022 by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, New Directions Treatment Services was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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715.14(b) LICENSURE Urine testing
(b) A narcotic treatment program shall develop and implement policies and procedures to ensure that urine collected from patients is unadulterated. These policies and procedures shall include random observation which shall be conducted professionally, ethically and in a manner which respects patient privacy.
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Observations
Based on a review of the facility's drug screening procedures and staff interviews, the facility failed to randomly observe patients during urine collections to ensure the urine collected from the patients is unadulterated.
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Plan of Correction
Beginning on 03/16/2022, drug screening procedures will be changed to include random observation by same gender staff to ensure the urine collected from the patients is unadulterated. Ongoing responsibility for compliance with the requirement will be overseen by the Nursing Director who oversees urine collection procedures. |