INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on February 17, 2023 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Mercy House of Meadville, 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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709.28 (c) 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.
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Observations
Based on a review of client records, the facility failed to document a signed consent to release information from the client for the funding source in one of seven client records.
Client #3 was admitted on December 2, 2022 and discharged on February 9, 2023. There was no documentation of a signed consent to release information for the funding source. It was confirmed with facility staff that the insurance company was billed for services.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Facility Director or Clinical Supervisor will review all new intake documents to insure that proper releases are signed and contained in client record. Review will be noted in initials on first page of intake documents |