INITIAL COMMENTS
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DDAP reviewed an unusual incident report submitted by Treatment Trends 0X7C6701 on 4/02/2025 at 9:10PM. DDAP rejected the unusual incident report and directed the recovery house to correct information as indicated in the rejection reason and comments, then resubmit the unusual incident report. The recovery house failed to follow DDAP ' s directive and is therefore not in compliance with 28 PA Code, Chapter 717, 717.31 (related to unusual incidents).
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Plan of Correction
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§ 717.31(c)(4) LICENSURE Unusual incidents - 3-day Filing
§ 717.31. Unusual incidents.
(c) The licensee shall file a written unusual incident report with the Department within three business days following an unusual incident involving:
(4) An event at the drug and alcohol recovery house requiring the presence of police, fire or ambulance personnel.
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Observations
Based on noncompliance with 3-day reporting and not following DDAPs verbal and written directive the recovery house requires to submit a plan of correction and resubmit the unusual incident report without client identifying information.
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Plan of Correction
On all future unusual incident reports, I will refrain from using any of the clients personal identifying information. I will also check back on any unusual incident reports I have submitted in a timely fashion to make sure they have not been rejected. The associate director will also be looking back to verify the reports were not rejected. |