This report is a result of an on-site licensure renewal inspection conducted on August 19, 2025, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Another Way, Inc. 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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Observations
Based on a review of client records, the facility failed to review and update treatment plans every 30 days in three of seven records.
Client #1 was admitted on December 17, 2024, and discharged on May 30, 2025. A treatment plan update was completed on April 9, 2025, and the next update was due no later than May 9, 2025; however, it was completed May 16, 2025.
Client #2 was admitted on December 3, 2024, and discharged on May 27, 2025. A treatment plan update was completed on April 16, 2025, and the next update was due no later than May 16, 2025; however, there were no further updates in client #2 ' s record.
Client #6 was admitted on May 6 ,2025 and was still active at the time of the inspection. A treatment plan update was completed on June 4, 2025, and the next update was due no later than July 4, 2025; however, it was completed July 9, 2025.
These findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
Met with therapists to discuss the purpose and reasoning behind the treatment plan updates and emphasized the need for it to be reviewed and updated every 30 days from the last treatment plan (not admit). The senior behavior tech will conduct quality assurance inspections monthly to monitor monthly compliance with this time frame and report back to Facility Director. We are currently in compliance with this regulation as of 8/26/2025. |