INITIAL COMMENTS
|
This report is a result of an on-site renewal licensure inspection conducted on June 2, 2026, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, HH5F6701 79 Blueridge. Llc was found not to 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
|
§ 717.27 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 one of six resident records reviewed, the facility failed to provide documentation that the facility will contact the designated emergency contact within 12 hours in the event of the residents hospitalization or death, or if the resident decides to end residency or does not return to the drug and alcohol recovery house as expected, including the notifying the resident they may revoke consent in accordance with 717.27 (a).
Resident #3 was admitted on February 27, 2026, and was still active at the time of the inspection. There was no documentation to the resident of the circumstances of notifying the emergency contact in the resident record.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
House Manager will check regularly to ensure that all emergency contacts are called at the time of a resident's discharge and that it is documented on the discharge paperwork with date, time and who was spoken to. House manager will also communicate to house leads that this needs to be completed for every discharge. |