INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 15, 2007 to May 16, 2007 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on June 12, 2007.
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Plan of Correction
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709.28(c) LICENSURE Confidentiality
709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to:
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Observations
The facility failed to comply with state and federal confidentiality regulations as they relate to the urine collection and testing. All clients consent to urine screening as part of the facility's program rules and sign off to such consent on the consent to treatment form. All treatment plans include a statement to the affect that the client will participate in urine screening. Confidentiality is compromised as the facility utilizes it's sister corporation, Renewal, Inc., to collect the urine, and the consents for Renewal, Inc. do not include urine screening [28 Pa. Code 709.28 (c)(2); 42 CFR Part 2, Subpart C, Subsection 2.31(a)(5)] and there is no quality Service Organization Agreement in place. The laboratory sends the results to both Renewal Treatment, Inc. and probation/parole [4 Pa. Code 255.5(b)]. Renewal Treatment, Inc. initiates and bills for all urine screens.
The facility failed to obtain a proper consent for probation and parole in client record #2.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |
709.94(g) LICENSURE Project management services
709.94. Project management services.
(g) Outpatient projects which receive reimbursement under the medical assistance program shall have a current, signed provider agreement with the Department of Public Welfare and comply with 55 Pa. Code Part III (relating to Medical Assistance Manual).
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Observations
The facility failed to comply with 55 Pa. Code Part III for Medical Assistance. Treatment plans and treatment plan updates were not reviewed or signed by the medical director. This was found in client records #6 and #7.
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Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health. |