INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on April 26, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, M9D06701, New Path Recovery TMB LLC was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing. Therefore, deficiencies were identified during this inspection, and a plan of correction is required.
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Plan of Correction
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§ 717.18(c)(4) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(4) Fire prevention and emergency preparedness, including use of a fire extinguisher.
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Observations
Based on a review of staff records the recovery house failed to have staff complete the fire prevention and emergency preparedness within 90 days of becoming an employee in all staff records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
House manager has registered all staff members to completed all DDAP required training. House manager will require all new staff and/or volunteer to complete all DDAP required training within the appropriate timeline. House manager will review all staff records quarterly and ensure all staff records comply with DDAP requirements. |
§ 717.22(b)(3)(vi) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(3) Basic personal data including:
(vi) Medical contact information.
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Observations
Based on a review of resident records, the recovery house failed to have resident provide the medical contact information within 24 hours of arrival in seven of seven resident records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
House manager developed new form to capture DDAP required medical information. Current residents all complete form and moving forward all new resident will complete required form during the intake process. House manager will review all resident records quarterly to ensure all DDAP required information is being captured. |