Observations
Based on a review of resident records, the recovery house failed to make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (b) 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.
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Plan of Correction
As a Recovery House licensed in PA by the Department of Drug and Alcohol Programs, it is our responsibility to ensure that all regulations and requirements set forth by the state are strictly adhered to. The recent review of resident records has highlighted a failure to notify the resident's emergency contact within the stipulated time frame as required by Section 717.27 of the licensure regulations. This plan of correction aims to rectify the identified violation of Section 717.27 by addressing the gaps in our policies and procedures, enhancing staff training and awareness, and establishing intensive monitoring and accountability mechanisms. By implementing these corrective actions, we are committed to ensuring full compliance with the regulatory requirements and providing the highest standard of care and safety for our residents
- Administrative staff has updated the intake/admission paperwork to remove the refusal of consent for contact effective 3/18/2025.
- The House manager will conduct a mandatory training session for all staff members, emphasizing the importance of timely notification and the requirements of Section 717.27, specifically the methods and circumstances for notifying the resident's emergency contact, including a resident's decision to leave the program.
- The House manager along with the Compliance manager will immediately implement a system for regular audits and reviews of resident records to ensure that emergency contact notifications are being made in a timely manner.
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