INITIAL COMMENTS
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This report is a result of an on-site inspection conducted for the approval to use a narcotic agent, specifically methadone, in the treatment of narcotic addiction. This inspection was conducted on July 29-31, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Parkside Recovery was found not to be in compliance with the applicable chapters of 4 PA Code and 28 PA Code which pertain to the facility.
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Plan of Correction
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715.20(4) LICENSURE Patient transfers
A narcotic treatment program shall develop written transfer policies and procedures which shall require that the narcotic treatment program transfer a patient to another narcotic treatment program for continued maintenance, detoxification or another treatment activity within 7 days of the request of the patient.
(4) The receiving narcotic treatment program shall document in writing that it notified the transferring narcotic treatment program of the admission of the patient and the date of the initial dose given to the patient by the receiving narcotic treatment program.
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Observations
Based on the review of patient records, the facility failed to document that it notified the referring facility of the admission and initial dosing of the patient in 2 of 2 patient records reviewed.
The findings include:
Eleven patient records were reviewed January 29-31, 2014. Two patient records were reviewed for documentation of notification to the referring facility of the admission and dosing of the referred patient.
Patient records # 6 and 7 were referred to the facility by another narcotic treatment program.
Patient # 6 was referred to the facility and admitted April 11, 2014. There was no documentation of the referring narcotic treatment program being notified of the admission or date of initial dosing of the patient.
Patient # 7 was referred to the facility and admitted June 6, 2014. There was no documentation of the referring narcotic treatment program being notified of the admission or date of initial dosing of the patient.
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Plan of Correction
To ensure that this deficiency does not re-occur the intake specialist will fax the notification of the client's admittance to Parkside Recovery to the referring OTP within the first 48 hours of the client's admission. This process entails the Intake Specialist faxing the confirmation of admission with dose verification to the client's referring clinic. The intake specialist will file the form with fax confirmation in the client's clinical file. The Intake Supervisor will be responsible to oversee this process daily and will be responsible to ensure this deficiency does not re-occur. |