INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on June 20, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, Club Serenity 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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§ 717.18(c)(1) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(1) Cardiopulmonary resuscitation (CPR) certification.
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Observations
Based on a review of staff training records, the recovery house failed to obtain Cardiopulmonary resuscitation (CPR) certification for a staff person and/or volunteers within 90 days of becoming an employee or volunteer.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Manager Mindi McCloy has registered Volunteer Lee Roberts for CPR Training and Volunteer Lee Roberts has completed CPR training on July 12, 2023. Certificate of Completion of CPR Training has been placed in volunteer file. |
§ 717.18(c)(3) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
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Observations
Based on a review of staff training records, the recovery house failed to obtain HIV/AIDS, tuberculosis and sexually transmitted diseases training using a department approved curriculum for a staff member within 90 days of hire.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Manager Mindi McCloy has registered Volunteer Mark St. Cyr for a Department approved HIV/TB/STD training. Volunteer Mark St. Cyr has completed a Department approved HIV/TB/STD training on June 28, 2023. A Certificate of Completion for the Department approved HIV/TB/STD training has been placed in the volunteer file. |