INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 20, 2023 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Naaman Center 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:
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Plan of Correction
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705.23 (3) LICENSURE Counseling or activity areas and office space
705.23. Counseling or activity areas and office space.
The nonresidential facility shall:
(3) Ensure privacy so that counseling sessions cannot be seen or heard outside the counseling room. Counseling room walls shall extend from the floor to the ceiling.
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Observations
Based on a physical site inspection, it was determined that the facility failed to ensure privacy so that counseling sessions cannot be seen or heard outside the counsel room. The three counseling offices did not have window coverings.
This finding was reviewed with the facility staff during the licensing inspection.
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Plan of Correction
The Executive director reviewed findings with Clinical Supervisor and Maintenance team. The Executive Director will work with maintenance team to ensure that widow coverings are installed in three counseling offices prior to clients being seen in those offices. |