INITIAL COMMENTS
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DDAP reviewed an unusual incident report submitted by Riverview Wellness Village Gaudenzia T5D66701 on 10/13/24 at 12:00am. 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)(2) 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:
(2) Death or serious injury due to trauma, suicide, medication error or unusual circumstances.
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Observations
Based on noncompliance with 3-day reporting and not following DDAPs verbal and written directive the recovery house is required to submit a plan of correction and resubmit the unusual incident report.
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Plan of Correction
The Program Director/Clinical Supervisor will ensure all DDAP incident reports are submitted using accurate and correct program numbers.
· The Program Director/Clinical Supervisor will ensure all incident reports are submitted to DDAP through the DDAP Incident Report system within 24 hours of the incident.
· The Program Director/Clinical Supervisor will review all incident reports prior to submission to ensure accuracy, completeness, and compliance with DDAP requirements.
· The Program Director/Clinical Supervisor will address and respond to all DDAP follow-up requests within 24 hours of receipt. |