INITIAL COMMENTS |
This report is a result of an on-site licensure renewal inspection conducted on October 22, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection L5526701 Dante ' s Place. was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required. |
Plan of Correction
|
§ 717.19(a)(1) LICENSURE Resident Rights
§ 717.19. Resident rights.
(a) The licensee shall develop and implement written policies and procedures on resident rights which must include:
(1) Residents shall retain all civil rights that have not been specifically curtailed by separate judicial or administrative determination by the appropriate legal authority.
|
Observations Based on one of five resident records reviewed, the facility failed to include acknowledgment by the client they were informed of their rights in the resident record to include:
(1) Residents shall retain all civil rights that have not been specifically curtailed by separate judicial or administrative determination by the appropriate legal authority.
(2) The licensee may not discriminate against a resident on the basis of age, race, sex, religion, ethnic origin, economic status, disability, sexual orientation or gender identity or expression.
(3) Residents have the right to inspect their own records.
(4) Residents have the right to request the correction of information in their records on the basis that it is inaccurate, irrelevant, outdated or incomplete.
(5) Residents have the right to submit a rebuttal to information in their records.
(6) Residents may attend a treatment facility of their choice outside of the drug and alcohol recovery house. The licensee may not require a resident to attend or prohibit a resident from attending a specific treatment facility.
Resident # 2 was admitted on March 16, 2025, and was still active at the time of the inspection. There was no acknowledgement in the residents ' record they were notified of their rights.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
House manager will update the current residents' rights section in the intake packet to sate the following: "Residents shall retain all civil rights that have not been specifically curtailed by separate judicial or administrative determination by the appropriate legal authority in records." by 11/4/2025 so that it is updated in all of our future intake packets for residents.
|
§ 717.22(b)(1) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(1) Disclosure to the resident of criteria for beginning and ending residency.
|
Observations Based on one of five resident records reviewed, the facility failed to document disclosure to the residents the criteria for beginning and ending of residency in the resident record.
Resident # 2 was admitted on March 16, 2025, and was still active at the time of the inspection. There was no documentation signed by the resident of the disclosure of criteria for beginning and ending residency in the resident record.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction House manager will utilize decision to end residency form and ensure that all residents have one completed in their file when residency is ended. House manager will also communicate this information to all house leads so that they are completing the forms with residents and putting them in their files. This will be completed by 11/4/2025 |
§ 717.22(b)(2)(i) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(2) Resident orientation to the drug and alcohol recovery house which must include:
(i) Drug and alcohol recovery house rules, including a method to record residents' expected return time to the drug and alcohol recovery house.
|
Observations Based on one of five resident records reviewed, the facility failed to document acknowledgment by the client they were oriented to the house to include:
(i) Drug and alcohol recovery house rules, including a method to
record residents ' expected return time to the drug and alcohol
recovery house.
(ii) Fee schedule including any lease agreement.
(iii) Supports provided by the drug and alcohol recovery house, as well as referrals to other essential services as needed.
(iv) Financial policies and procedures.
(v) The location of posted emergency procedures and contact information for the house manager and the Department.
(vi) Medication control and self-administration policies in the resident record.
Resident # 2 was admitted on March 16, 2025, and was still active at the time of the inspection. There was no documentation the resident was oriented to the house in the resident record.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction House Manager will make sure all current residents have completed all intake documentation including the recovery house rules, fee schedule, a list of all supports provided by the recovery house, financial policies and the location of posted emergency procedures which are all included in the current intake packet given to all new residents. House manager will make sure they are completing the entire packet with residents upon arrival. this will be completed by 11/4/2025. |