INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on March 19-20, 2026, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Drug and Alcohol Rehabilitation Services Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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709.24 (a) (3) LICENSURE Treatment/rehabilitation management.
§ 709.24. Treatment/rehabilitation management.
(a) The governing body shall adopt a written plan for the coordination of client treatment and rehabilitation services which includes, but is not limited to:
(3) Written procedures for the management of treatment/rehabilitation services for clients.
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Observations
Based on the review of the facility's policy and procedure manual and staff/client interviews, the facility failed to adhere to its written procedures for the management of treatment rehabilitation services for clients.
The facility ' s " Employee Ethics-Client Relations " policy notes that " employees shall never speak of personal sexual activities, dreams or fantasies with a client ... " DDAP staff interviewed facility staff and clients. There were reports that this policy is not consistently being followed by facility staff.
This finding was reviewed with facility staff during the complaint investigation process.
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Plan of Correction
In response to the identified deficiency, all agency staff will be required to complete an instructed training on the topic of maintaining appropriate boundaries in all interactions with clients and conduct within the treatment facility.
This training was created directly from the agency policies regarding staff/client boundaries.
All agency employees will have completed this training no later than May 29, 2026.
This training has been added to the list of required training for newly onboarded staff. This required training is also required to be completed annually by all employees in compliance with the facility's PREA Compliance License.
Training certificates documenting successful completion will be placed in each staff member's training file. |