INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on August 18, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Addiction & Behavioral Counseling Associates 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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709.24(d) LICENSURE Treatment/Rehabilitation Management
709.24. Treatment/rehabilitation management.
(d) Provisions shall be made, through written agreement with a licensed hospital or physician, for 24-hour emergency psychiatric and medical coverage.
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Observations
Based on a review of the facility's letters of agreement, the facility failed to provide documentation of a written agreement with a licensed hospital or physician for 24-hour emergency medical and psychiatric coverage.
The findings include:
The facility's letters of agreement were reviewed on August 18, 2014. No letter of agreement regarding 24- hour emergency medical and psychiatric coverage was documented.
The Facility Director was interviewed on August 18, 2014 and confirmed the findings.
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Plan of Correction
The local medical center that provides 24 hour medical emergency care was immediately contacted and a formal request to have an referral agreement contracted was sent on 8/22/14. Our expectation is to have this agreement in place by 9/19/14. The Facility Director is charged with ensuring this agreement is obtained by the above mentioned date. |