INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on November 2-4, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Center for Behavioral Health-HA, Inc, was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection and a plan of correction is due on December 1, 2010.
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Plan of Correction
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709.25(a) LICENSURE Fiscal Management
709.25. Fiscal management.
(a) The project shall obtain the services of an independent public accountant for an annual audit of financial activities associated with the project's drug/alcohol abuse services.
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Observations
Based on a review of administrative material and an interview with the facility director, the facility failed to document an audit for the 2009 fiscal year.
The findings include:
The facility director was not able to provide a copy of an annual audit for the 2009 fiscal year during the inspection conducted from November 2-4, 2010. The facility director confirmed that an audit for the 2009 fiscal year was not available.
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Plan of Correction
Discovery House will conduct an audit for FY 2010. We will submit a 2009 compellation review and an engagement letter for 2010. The director will be responsible to ensure that this is completed |