INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on August 15, 2024, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, CPP Behavioral Health, 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:
|
Plan of Correction
|
709.92(a)(3) LICENSURE Treatment and rehabilitation services
709.92. Treatment and rehabilitation services.
(a) An individual treatment and rehabilitation plan shall be developed with a client. This plan shall include, but not be limited to, written documentation of:
(3) Proposed type of support service.
|
Observations
Based on a review of client records, the facility failed to document proposed type of support service on individual treatment plans in seven of seven records.
This finding was reviewed with the facility staff during the licensing process.
|
Plan of Correction
All Clinical Staff participated in a mandatory training on August 21, 2024 to ensure that treatment planning includes proposed types of support service for each client and is properly documented on individual treatment plans.
Project Director will review charts on a continuous basis to ensure that individual treatment plans include proposed type of support service. |