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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA KINDRED HOUSE
1030 SOUTH CONCORD ROAD
WEST CHESTER, PA 19382

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Survey conducted on 10/04/2006

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on October 3 through 4, 2006 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on November 2, 2006.
 
Plan of Correction

709.51(b)(6)  LICENSURE Psychosocial evaluation

709.51. Intake and admission. (b) Intake procedures shall include documentation of: (6) Psychosocial evaluation.
Observations
Psychosocial evaluations were incomplete. Specifically, support systems were not evaluated in four of eight clinical records reviewed, #1, 3, 5 and 6. Coping/defense mechanisms were missing in five of eight clinical records reviewed, # 1, 2, 3, 5 and 6.
 
Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health.

709.52(a)(2)  LICENSURE Tx type & frequency

709.52. Treatment and rehabilitation services. (a) An individual treatment and rehabilitation plan shall be developed with a client. This plan shall include, but not be limited to, written documentation of: (2) Type and frequency of treatment and rehabilitation services.
Observations
Frequency of services were missing in four of eight clinical records reviewed, # 1, 2, 5 and 6.
 
Plan of Correction
This facility does not file electronically, a Plan of Correction is on file with the Department of Health.

 
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