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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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PA TREATMENT AND HEALING
239 EAST BROWN STREET, SUITE 6
EAST STROUDSBURG, PA 18301

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Survey conducted on 11/29/2007

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on November 29, 2007 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Bethesda Day Treatment 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 and a plan of correction is due on December 24, 2007.
 
Plan of Correction

709.91(b)(6)  LICENSURE Intake and admission

709.91. Intake and admission. (b) Intake procedures shall include documentation of: (6) Psychosocial evaluation.
Observations
Based on a review of client records the facility did not meet the requirements of this regulation. The required components for a psychosocial evaluation were not fully addressed in client records #1, 2, 3 and 4. This represented four of four client records reviewed. The components not fully addressed included coping mechanisms and support systems.
 
Plan of Correction
Dwight Evans, Facility Director, will discuss with Doug Luisi, Drug and Alcohol counselor how to identify negative and positive coping mechanisms, and support options. The summaries will be reviewed thoroughly, ensuring policy compliance immediately. The project is currently in full compliance as of December 12, 2007. Further, the Facility Director will ensure this standard through ongoing training of proper documentation via supervision.

 
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