This report is a result of an off-site license follow-up inspection conducted on January 30, 2024 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Since this was a follow-up inspection, not all regulations were reviewed. Based on the findings of the off-site inspection, Catholic Charities Diocese of Harrisburg, PA, Inc. 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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Observations
Based on the review of staff schedules from December 30, 2023 through January 5, 2024, the facility failed to provide at least one person training in CPR on site during the project's hours of operation. The facility's operating hours are seven days a week, 24 hours per day. On December 30, 2023, there was no CPR coverage from midnight to 8am, and 8pm to midnight.On December 31, 2023, there was no CPR coverage from midnight to 8am.On January 1, 2024, there was no CPR coverage from midnight to 3pm.On January 2, 2024, there was no CPR coverage from midnight to 8am and 4pm to midnight.On January 3, 2024, there was no CPR coverage from midnight to 8am and 5pm to midnight.On January 4, 2024, there was no CPR coverage from midnight to 8am.On January 5, 2024, there was no CPR coverage from midnight to 8am and 6pm to midnight.This is a repeat citation from the August 15, 2023 annual licensing inspection.These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
All staff have renewed their CPR certifications. Certificates reflecting this were sent to DDAP on 02/16/2024. Director will ensure all new staff receive their CPR certification within 30 days. Director will also ensure that there is always at least one person trained in CPR on site during hours of operation. |