INITIAL COMMENTS
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This report is a result of an off-site complaint investigation conducted January 31, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the off-site complaint investigation, Huntingdon Valley Comprehensive Treatment Center, was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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715.28(c)(1-5) LICENSURE Unusual incidents
(c) A narcotic treatment program shall file a written Unusual Incident Report with the Department within 48 hours following an unusual incident including the following:
(1) Complaints of patient abuse (physical, verbal, sexual and emotional).
(2) Death or serious injury due to trauma, suicide, medication error or unusual circumstances.
(3) Significant disruption of services due to a disaster such as a fire, storm, flood or other occurrence.
(4) Incidents with potential for negative community reaction or which the facility director believes may lead to community concern.
(5) Drug related hospitalization of a patient.
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Observations
The facility failed to file an Unusual Incident Report with the Department within 48 hours following a significant disruption of services.
On January 31, 2025, the Department received a complaint regarding the facility's interruption in services. Department staff contacted the Facility Director who confirmed that on January 23, 2025 the facility experienced a nursing staff shortage and was unable to dispense methadone to their clients.
The facility did not advise the Department of this incident by submitting the required Unusual Incident Report.
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Plan of Correction
Clinic Director and supporting management will review the DDAP policy for timely submission of critical incidents and will ensure that all critical incidents are reported within 48 hours moving forward by 2/14/25. |