INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 23, 2025 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Spring-Ford Counseling Services, Inc. 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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709.93(a)(10) LICENSURE Client records
709.93. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following:
(10) Discharge summary.
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Observations
Based on a review of client records, the facility failed to maintain a complete client record on an individual, which is to the documentation of a discharge summary, in one of three applicable client records reviewed.Client # 2 was admitted on April 30, 2025 and was discharged on July 25, 2025. There was no discharge summary documented in the record at the time of the inspection.This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
Spring-Ford Counseling Services Executive Director will monitor all DAT client's discharge status and ensure that a discharge summary is included in each file. |