D&A Facility Surveys

Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.

AL-ASSIST BEHAVIORAL HEALTH CARE CENTER
1401 SOUTH 4TH STREET, SECOND FLOOR
PHILADELPHIA, PA 19147

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Survey conducted on 01/22/2009

INITIAL COMMENTS
A plan of correction follow-up survey conducted January 22, 2009 found Al-Assist Behavioral Health had not corrected the following deficiencies cited under the applicable chapters of 28 PA Code. The deficiencies were cited as a result of the annual licensing survey completed on August 28, 2008. The facility must submit a plan of correction by March 4, 2009.	Plan of Correction
709.28(c)(3) LICENSURE Confidentiality 709.28. Confidentiality. (c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to: (3) Purpose of disclosure.
Observations Based on a review of client records on January 22, 2009 the facility failed to obtain an informed consent prior to the disclosure of client information. The findings include:Four active client records were reviewed on January 22, 2009. The facility did not document in writing the purpose of disclosure in two of the four records reviewed. Client record # 2 - Admitted 10/29/2008. Three consents to release information were reviewed in client record # 2. One of the three consents to release information did not include documentation of the purpose for the disclosure of the client identifying information. Client record # 4 - Admitted 12/19/2008. Four consents to release information were reviewed in client record #4. One of four consents to release information did not include documentation of a purpose for the disclosure of client identifying information.	Plan of Correction Plan of Correction: Standard in Noncompliance 709.28 (c) (3) Confidentiality In an effort to comply with regulation 709.28, the written findings from the January 22, 2009 were discussed with all staff during the general staff meeting. In addition, the Director of BHS held a meeting with the Clinical Coordinators and Medical Records Clerks to review Standard 709.28 (c) (3), and to reiterate the importance of accurately documenting on the informed and voluntary consent form the specific purpose for the disclosure of information to be released/disclosed with the clear understanding that the purpose for disclosing/releasing the information must not violate 4 Pa Code Subsection 255.5(b). In an effort to further avoid any infractions of this regulation, the form was revised to include precise optional statements that specify purpose for the disclosure of information to be released/disclosed. Informed and voluntary consent forms will be randomly audited weekly for compliance by the Client Service Coordinator and Medical Records Clerks to ensure compliance. A random audit of each therapist caseload will be conducted periodically by the Clinical Coordinator to ensure that standard 709.28 (c) (3) is being followed properly.