INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 29, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, E8UK6701 Surge Recovery was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing. Therefore, deficiencies were identified during this inspection, and a plan of correction is required.
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Plan of Correction
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§ 717.17(c) LICENSURE Personnel Management
§ 717.17. Personnel management.
(c) The licensee shall maintain a personnel record for the house manager and each staff person and volunteer, which must include:
(1) Application or resume.
(2) A Pennsylvania State Police criminal history record check.
(3) Disciplinary actions.
(4) A written job description for each drug and alcohol recovery house position.
(5) Documentation of training.
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Observations
Based on a review of staff record, the recovery house failed to have a complete personnel record for each staff person, which must include a Pennsylvania State Police criminal history record check.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Surge Recovery 2 will ensure that each and every staff member employed with Surge Recovery will have a completed Pennsylvania State Police criminal history record check in their personnel file.
In order to ensure that this does not occur again, the House manager will make sure that every staff member applies for their criminal background at the same time they submit their job application.
This will be completed by April 19th, 2024 and it will be completed by the House Manager, Brian Mack. |
§ 717.18(c)(2) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(2) First aid training, including training on overdose reversal medication.
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Observations
Based on a review of staff records, the recovery house failed to have staff complete the overdose reversal medication certification within the first 90 days of hire in all staff records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Surge Recovery 2 will ensure that each and every staff member employed with Surge Recovery will have completed the overdose reversal medication certification by April 19th, 2024
In order to ensure that this does not occur again, the House manager will make sure that every staff member has taken the training within the first 90 days of their hiring date.
This will be completed by April 19th, 2024 and it will be overseen and completed by the House Manager, Brian Mack. |
§ 717.18(c)(3) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
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Observations
Based on a review of staff records, the recovery house failed to have staff complete the tuberculosis and sexually transmitted diseases training using a department approved curriculum within the first 90 days of hire in all staff records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Surge Recovery 2 will ensure that each and every staff member employed with Surge Recovery will have a completed the tuberculosis and sexually transmitted diseases training using a department approved curriculum.
This will be completed by April 19th, 2024 and it will be completed by the House Manager, Brian Mack.
In order to ensure that this does not occur again, the House manager will make sure that every staff member completes their tuberculosis and sexually transmitted diseases training using a department approved curriculum withing the ifrst 90 days of hire.
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