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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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JOHN F. KENNEDY BEHAVIORAL HEALTH CENTER
907 NORTH BROAD STREET
PHILADELPHIA, PA 19123

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Survey conducted on 12/13/2013

INITIAL COMMENTS
 
This report is a result of an on-site licensure inspection conducted on December 13, 2013 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, John F. Kennedy Behavioral Health Center 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

709.22(e)  LICENSURE Governing Body

709.22. Governing body. (e) 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:
Observations
Based on a review of administrative documentation, including the 2012 annual report, the governing body failed to make an annual report available to the public that included a statement disclosing the names of officers, directors and principal shareholders. The facility also failed to make a separate financial statement of income and expenses for 2012 available to the public.



The findings include:



Administrative documentation, including the 2012 annual report, was reviewed on December 11, 2013. The governing body made the 2012 annual report available to the public on May 17, 2013. The governing body failed to include a statement disclosing the names of officers, directors and principal shareholders in the 2012 annual report. The governing body also failed to make a separate financial statement of income and expenses for 2012 available to the public, as per an exception granted to the project.



The Project Director confirmed the findings.
 
Plan of Correction
Effective 1/17/2014, the Facility Director will be responsible for including the names of officers of JFK's governing body to the annual report. A separate financial statement of income and expenses will be attached to the annual report. This information will be made available to the public as part of each annual report. The facility Director will be responsible for attaching this information to the annual report. The Project Director will review the annual report and attachment to ensure this deficiency does not recur.

 
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