Observations
Based on review of the resident records the licensee failed to file an unusual incident with the Department within 3 business days following an unusual incident involving an event at the drug and alcohol recovery house requiring the presence of police, fire or ambulance personnel.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
1.Effective immediately, the Program Director/Clinical Supervisor will ensure all incident reports are submitted to DDAP through the DDAP Incident Report system within one business day of the incident.
2.The Program Director/Clinical Supervisor will review all incident reports prior to submission to ensure accuracy, completeness, and compliance with DDAP requirements.
3.The Program Director/Clinical Supervisor will address and respond to all DDAP follow-up requests within one business day of receipt.
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