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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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MILDRED MANOR
607 N. CEDAR STREET
NEW CASTLE, PA 16101

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Survey conducted on 06/23/2023

INITIAL COMMENTS
 
This report is a result of an renewal on-site licensure inspection conducted on June 23, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, Mildred Manor was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
 
Plan of Correction

§ 717.27  LICENSURE Notification to family or emergency contact

§ 717.27. Notification to family member or emergency contact. (a) The licensee shall develop and implement written policies and procedures that specify the methods and circumstances, including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent. The resident may revoke consent to provide notice to the emergency contact. (b) The licensee shall make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
Observations
Based on a review of resident records, the recovery house failed to document that the resident refused to sign the emergency contact form. Also, there was no record in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected, the emergency contact would be notified.





These findings were reviewed with the recovery house staff during the licensing process.
 
Plan of Correction
The Consent to Residency Form (Attachment H) has been revised to include the emergency contact, the contact relationship to the resident and the contact's phone number. The form also now includes the following statement for the resident to initial should she refuse to provide or not have an emergency contact. "The resident refused to provide an emergency contact or did not have an emergency contact they wanted to provide to the House Manager. ________ (please initial)."



In the future, when a resident leaves the house, the House Manager will contact the emergency contact to make them aware that the resident has left (if the resident has provided a contact). She will also note this in the resident's file.

 
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