INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on June 20, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, # Pyramid Healthcare Inc. Grey House was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
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Plan of Correction
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§ 717.22(b)(2)(i) 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:
(2) Resident orientation to the drug and alcohol recovery house which must include:
(i) Drug and alcohol recovery house rules, including a method to record residents' expected return time to the drug and alcohol recovery house.
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Observations
Based on a review of resident records and the absences of a logbook, the recovery house failed to complete the following documentation for the beginning of residency,
Drug and alcohol recovery house method to record residents' leave and expected return time to the drug and alcohol recovery house.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Pyramid staff will ensure all new admissions entering the Grey House review policies of the program. The house
manager re-reviewed policy for utilizing the daily movement log with all current residents on June 27, 2023. Residents were reminded that they must sign in and out on the daily movement log. If they are not signed in/out, this would result in a sanction. The house manager will check the movement log daily to ensure all residents maintain compliance.
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