INITIAL COMMENTS
|
This report is a result of an on-site recovery house renewal inspection conducted on December 20, 2023, by staff from the Bureau of Program Licensure. Based on the findings of the on-site renewal inspection, 657007 Eagle ' s Nest was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717, which pertains to the recovery house.
|
Plan of Correction
|
§ 717.27 LICENSURE Notification to family or emergency contact
§ 717.27. Notification to family member or emergency contact.
(a) The licensee shall develop and implement written policies and procedures that specify the methods and circumstances, including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent. The resident may revoke consent to provide notice to the emergency contact.
(b) The licensee shall make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
|
Observations
Based on a review of the resident records, the recovery house has not developed and implemented written policies and procedures for ways to identify times that residents are away from the recovery house.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
The House Manager has developed a sign in/out log at the Recovery House front entrance and will implement that every resident will sign out/in upon leaving and arriving the Recovery House. This will track the times that residents are away incase there emergency contact needs notified. The House Manager will be responsible to check the sign in/out log everyday and to address issues with the residents when the sign in/out log is not completed. The sign in/out log was effective December 21, 2023. |