INITIAL COMMENTS
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This report is a result of an on-site initial licensure inspection conducted on July 20, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection and a review of application documentation, Positive Pathways was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
Since this was the initial inspection conducted, not all regulations were reviewed. During future inspections, all regulations will be reviewed for compliance.
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Plan of Correction
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704.11(c)(2) LICENSURE CPR CERTIFICATION
704.11. Staff development program.
(c) General training requirements.
(2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
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Observations
Based on a review of application materials, CPR certification cards, the facility failed to ensure that a sufficient number of staff persons were trained in CPR.
The findings include:
Two employee CPR certification cards were reviewed on July 24, 2015. The CPR certifications for both employees were issued from an entirely online certification program. CPR certification must contain a classroom training component and be from a recognized training provider.
These findings were reviewed with facility staff during the application process.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |