This report is a result of an on-site licensure renewal inspection conducted on December 12, 2024, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Pennsylvania Organization for Women in Early Recovery (POWER), 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:
|
Plan of Correction
|
Observations
Based on a review of the personnel training records, the facility failed to have the project director complete at least 12 clock hours of annual training in one of one record.
Employee #1 was hired as the project director on September 1, 1992, and was still in this position at the time of the inspection. Employee #1 documented five hours of training for the July 1, 2023 to June 30, 2024 training year.
This finding was reviewed with the facility staff during the licensing process.
|
Plan of Correction
The findings of this review were reviewed with the project director by the clinical director on December 18, 2024. The project director is aware of the requirements and did attend the required number of training hours; however did not have the required training certificate documentation for review. To prevent this from happening in the future, the project director will maintain a yearly training file with the help of the executive assistant and human resource department as per established POWER policy. |