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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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ARKVIEW RECOVERY CENTER
4950 WILSON LANE
MECHANICSBURG, PA 17055

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Survey conducted on 10/02/2025

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on October 1-2, 2025 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Arkview Recovery Center 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:
 
Plan of Correction

705.10 (d) (4)  LICENSURE Fire safety.

705.10. Fire safety. (d) Fire drills. The residential facility shall: (4) Maintain a written fire drill record including the date, time, the amount of time it took for evacuation, the exit route used, the number of persons in the facility at the time of the drill, problems encountered and whether the fire alarm or smoke detector was operative.
Observations
Based on a review of the January 2025 - September 2025 fire drill logs, the facility failed to document exit route used during the January and February 2025 fire drills.



This finding was reviewed with facility staff during the licensing inspection.
 
Plan of Correction
Staff responsible for conducting and documenting fire drills were re-trained on the requirement to record all elements outlined in regulation 705.10(d)(4), including the specific exit route used during each drill. Audits by the Compliance Coordinator will take place on a monthly basis. 


705.10 (d) (8)  LICENSURE Fire safety.

705.10. Fire safety. (d) Fire drills. The residential facility shall: (8) Set off a fire alarm or smoke detector during each fire drill.
Observations
Based on the review of the January 2025 through September 2025 fire drill logs, the facility failed to document wheather a fire alarm or smoke detector was set off during the June 2025 drill.



This finding was reviewed with facility staff during the licensing inspection.
 
Plan of Correction
All staff responsible for conducting and documenting fire drills were re-trained on the requirement to set off and document activation of a fire alarm or smoke detector during each drill in accordance with 705.10(d)(8). Audits by the Compliance Coordinator will take place on a monthly basis. 


709.28 (c) (2)  LICENSURE Confidentiality

§ 709.28. Confidentiality. (c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent must be in writing and include, but not be limited to: (2) Specific information disclosed.
Observations
Based on a review of client records, the facility failed to obtain a completed consent to release information form which included specific information to be disclosed in one out of twenty-eight records reviewed.



Client #10 was admitted on May 27, 2025 and discharged on June 3, 2025. Five forms dated May 28, 2025 did not include specific information to be disclosed.



The finding was reviewed with facility staff during the licensing inspection.
 
Plan of Correction
All clinical and administrative staff were re-trained on the requirement to obtain and document a completed consent to release information form for each client at admission and prior to any release of information. Audits by the Compliance Coordinator will take place on a monthly basis.  


709.28 (c) (3)  LICENSURE Confidentiality

§ 709.28. Confidentiality. (c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent must be in writing and include, but not be limited to: (3) Purpose of disclosure.
Observations
Based on a review of client records, the facility failed to obtain a completed informed and voluntary consent which included the purpose of disclosure in thirteen out of twenty-eight records reviewed.



Client #1 was admitted on March 10, 2025 and discharged on May 15, 2025. A release form to an emergency contact, dated March 4, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #2 was admitted on March 17, 2025 and discharged on May 14, 2025. A release form to an emergency contact, dated February 11, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #5 was admitted on April 10, 2025 and discharged on May 23, 2025. A release form to an emergency contact, dated March 7, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #6 was admitted on March 24, 2025 and discharged on May 30, 2025. A release form to an emergency contact, dated February 27, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #7 was admitted on March 18, 2025 and discharged on June 13, 2025. A release form to an emergency contact, dated March 18, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #8 was admitted on May 14, 2025 and discharged on June 13, 2025. A release form to an emergency contact, dated April 10, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #10 was admitted on May 27, 2025 and discharged on July 3, 2025. Five release forms to medical facilities, dated May 28, 2025, did not list a purpose.



Client #14 was admitted on June 30, 2025 and discharged on August 18, 2025. A release form to a housing organization, dated September 2, 2025, did not list a purpose.



Client #15 was admitted on March 23, 2025 and discharged on April 21, 2025. A release form to an emergency contact, dated March 17, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #16 was admitted on March 27, 2025 and discharged on April 30, 2025. Two release forms to an emergency contact, dated March 27, and April 10, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #17 was admitted on March 28, 2025 and discharged on May 1, 2025. A release form to an emergency contact, dated March 28, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #22 was admitted on April 20, 2025 and discharged on April 24, 2025. A release form to an emergency contact, dated April 20, 2025, had "other" checked for purpose without identifying an additional purpose.



Client #23 was admitted on April 23, 2025 and discharged on April 25, 2025. A release form to an emergency contact, dated April 23, 2025, had "other" checked for purpose without identifying an additional purpose.



These findings were reviewed with facility staff during the licensing inspection.
 
Plan of Correction
All clinical and administrative staff were re-trained on the requirement to obtain and document a completed consent to release information form for each client at admission and prior to any release of information. Audits by the Compliance Coordinator will take place on a monthly basis. 


 
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