INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 27, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Freedom Healthcare Services, 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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709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on a review of administrative documents and an interview with the facility director, the project failed to document an annual financial audit for the fiscal year ending December 31, 2020.
The findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The 2020 Audit has been granted an extension by DDAP until 12/31/2021. The project director shall be responsible for having the audit completed no later than 12/31/2021.The project director will ensure that future financial audits will be completed annually as required |