This report is a result of an on-site licensure renewal inspection conducted on April 27-28, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Sojourner House, 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 and a plan of correction is due on May 22, 2010.
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Plan of Correction
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Observations
Based on a review of administrative policies and procedures and an interview with the project director, the facility failed to provide documentation of a written agreement with a licensed hospital or physician, for 24 hour emergency medical coverage.
The findings include:
The administrative policies and procedures were reviewed on April 27, 2010. The facility was unable to provide a written agreement with a licensed hospital or physician for 24 hour emergency medical coverage, as required.
An interview with the project director took place on April 27, 2010 at which time it was confirmed that no 24 hour medical coverage agreement was in place.
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Plan of Correction
On 5/3/2010, the Executive Director obtained a written agreement from a licensed physician from West Penn Hospital, for the provision of 24 hour medical coverage to the residents of Sojourner House. The agreement is effective immediately. |