INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on December 3, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection AXRK6701 Susquehanna Recovery Initiative was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
|
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
The licensee failed to document 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.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
The licensee reviewed its policies and forms with the house superintendent on 12/30/24. The house superintendent was directed to comply with all licensee and DDAP policies. According to licensee policies, critical incident forms are required to be entered into Sobriety Hub within 48 hours of occurrence. The forms are to be reviewed by board member Angela Noon. The critical incident form requires entry of the date and time of the required call to a resident's emergency contact in the event a resident ends residency or fails to return. |