INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on June 9, 2026, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, New Way of Life Blairsville 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:
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Plan of Correction
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709.32 (c) (3) (i) - (v) LICENSURE Medication control
§ 709.32. Medication control.
(3) Inspection of storage areas that ensures compliance with State and Federal laws and program policy. The policy must include, but not be limited to:
(i) What is to be verified through the inspection, who inspects, how often, but not less than quarterly, and in what manner it is to be recorded.
(ii) Disinfectants and drugs for external use are stored separately from oral and injectable drugs.
(iii) Drugs requiring special conditions for storage to insure stability are properly stored.
(iv) Outdated drugs are removed.
(v) Copies of drug-related regulations are available in appropriate areas.
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Observations
Based on a review of administrative information, the facility failed to inspect storage areas as required.
The policy and procedure states that all medication storage areas are to be inspected quarterly by the pharmaceutical representative and nursing staff.
There were no inspections documented from May 2025 through September 2025, or from November 2025 through March 2026.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
The facility's medical assistant will inspect storage areas as required and will have audits completed quarterly by a pharmaceutical representative. The Facility Director will oversee and track the audits to ensure that they are done quarterly to comply with policy and procedures. |
709.51(b)(2)(ii) LICENSURE Hours of Operation
709.51. Intake and admission.
(b) Intake procedures shall include documentation of:
(2) Client orientation to the project which includes, but it is not limited to, a familiarization with:
(ii) Hours of operation.
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Observations
Based on a review of client records, the facility failed to document client orientation to the project which included familiarization with hours of operation in seven of seven records.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The Drug and Alcohol Regional Director updated the client handbook to provide clients with the opportunity to be familiarized with the hours of operation. This process will be shared with the clients during their orientation process. The Clinical Supervisor will audit quarterly to their is compliance with this policy and procedure. All current and future clients will in compliance and be familiarized with the hours of operation during their orientation process. |
709.51(b)(2)(iii) LICENSURE Fee Schedule
709.51. Intake and admission.
(b) Intake procedures shall include documentation of:
(2) Client orientation to the project which includes, but it is not limited to, a familiarization with:
(iii) Fee schedule.
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Observations
Based on a review of client records, the facility failed to document client orientation to the project which included familiarization with the fee schedule in seven of seven records.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The Drug and Alcohol Regional Director updated the client handbook to provide clients with the opportunity to be familiarized with the fee schedule. This process will be shared with the clients during their orientation process. The Clinical Supervisor will audit quarterly to their is compliance with this policy and procedure. All current and future clients will in compliance and be familiarized with the fee schedule. |