INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on February 26, 2026 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, F1O66701 Gibson Foundation was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
The recovery house failed to provide written notification of decision to end residency.
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Plan of Correction
Staff has been instructed to notify the resident when they are being discharged. A form will be created for the resident and staff to sign making sure it is documented and signed by both resident and staff. If the resident self-discharge and a signature can't be obtained, the staff will sign it and note whether the resident went AWOL or refused to sign the document. The site supervisor will check each discharge form to ensure its accuracy. |
§ 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.
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Observations
The recovery house failed to document the date and time emergency contacts were notified.
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Plan of Correction
The recovery house manager will inform staff of the deficiency to not document emergency contact in the event of the resident going awol, been incarcerated, hospitalize and any traumatic event. A documentation policy and training will be implemented for staff by the house manager, and the site supervisor will oversee that each staff at their site takes the training and sign and date their completion. Also, all staff in the future staff will be documenting date and time of emergency contact notification. |