INITIAL COMMENTS
|
Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Program Licensure, has implemented temporary procedures for conducting an annual renewal inspection. The inspection will be divided into two parts. 1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist. 2, an abbreviated on-site inspection, will be conducted on-site at a later date and will include a review of client/patient records, and a physical plant inspection.This report is a result of Part 2, an abbreviated on-site inspection, conducted on January 15, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Not all regulations were reviewed, the remainder of the regulations were reviewed during Part 1.Based on the findings of Part 2, an abbreviated on-site inspection, Allied Addiction Recovery, 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:
|
Plan of Correction
|
715.9(a)(1) LICENSURE Intake
(a) Prior to administration of an agent, a narcotic treatment program shall screen each individual to determine eligibility for admission. The narcotic treatment program shall:
(1) Verify that the individual has reached 18 years of age.
|
Observations
Based on a review of client records, the facility failed to document that it verified the individual has reached 18 year of age.Client #3 was admitted on June 19, 2019 and discharged on September 16, 2019. The client was initially prescribed buprenorphine on June 19, 2019. There was no documentation of verification of client's identity, include client's date of birth in client record #3.These findings were reviewed with facility staff during the licensing process.
|
Plan of Correction
On 1/30/21 Clinical Director reviewed AAR policy and procedure with clinical and admin staff that all clients must provide accurate proof of identity and current age with drivers license or photo id. This must be done at intake prior to the client receiving medication.
Compliance will be monitored during weekly chart reviews. |
715.9(a)(2) LICENSURE Intake
(a) Prior to administration of an agent, a narcotic treatment program shall screen each individual to determine eligibility for admission. The narcotic treatment program shall:
(2) Verify the individual 's identity, including name, address, date of birth, emergency contact and other identifying data.
|
Observations
Based on a review of client records, the facility failed to document that it verified the individual's identity including name, address and date of birth.Client #3 was admitted on June 19, 2019 and discharged on September 16, 2019. The client was initially prescribed buprenorphine on June 19, 2019. There was no documentation of verification of client's identity, include client's date of birth and address in client record #3.These findings were reviewed with facility staff during the licensing process.
|
Plan of Correction
On 1/30/21 Clinical Director reviewed AAR policy and procedure with clinical and admin staff that all clients must provide accurate proof of identity and current age with drivers license or photo id. This must be done at intake prior to the client receiving medication.
Compliance will be monitored during weekly chart reviews. |