INITIAL COMMENTS
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This report is a result of an on-site licensure renewal and methadone monitoring inspection conducted on February 2-3, 2026 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Esper Treatment Center 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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709.22 (c) LICENSURE Governing Body
§ 709.22. Governing body.
(c) If a facility is publicly funded, the governing body shall make available to the public an annual report which includes, but is not limited to, a statement disclosing the names of officers, directors and principal shareholders, when applicable.
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Observations
Based on a review of administrative information, the project failed to make available to the public an annual report which includes a statement disclosing the names of officers, directors and principal shareholders. An annual report for the year 2024 was made available to the public on January 26, 2025 but failed to disclose the names of officers, directors, and principal shareholders. This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
The Annual Report has been updated with all officers, directors and shareholders listed. A new template has been made to include those and will be used for the years going forward. The Project Director already made the appropriate changes. |
709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on a review of administrative information and staff interview, the project failed to document an annual financial audit for the years 2022/2023 and 2023/2024. This finding was reviewed with the facility staff during the licensing process.This is a repeat citation from the January 28, 2025 annual licensure inspection.
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Plan of Correction
The Project Director submitted an exception to DDAP to ask for a Financial Review in lieu of audit due to budget restrictions. The PD has not received notification if it was approved. If the exception is denied the Project Director will have to seek bids for a financial audit. The audit will take 2 months to complete after bid is accepted. The Project Director will ensure this doesn't happen yearly by signing letter of engagement with the auditor performing the audit for this year to perform the audit for the succeeding years to ensure compliance with the regulation. The audit completion date will be no later than June 30th, due to tax season currently. |