INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 6, 2008 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Alcohol and Drug Abuse Services, 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 April 3, 2008.
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Plan of Correction
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709.93(a)(11) LICENSURE Client records
709.93. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following:
(11) Follow-up information.
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Observations
Based on the review of client records, the facility failed to document that follow-up was provided to the client per agency policy in one of two client records. Follow-up documentation was missing from client record #6.
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Plan of Correction
This situation occurred as a result of an electrical fire in the office that damaged the main computer. Because of the damage, client data could not be be retreived until a new computer was obtained and the hard-drive with the data bank was transferred over to the new computer. This process took several weeks, but has been completed. An external back-up drive was also installed, so that if an event like this occurrs again (as long as that back-up drive is not damaged), it can be plugged into any computer to retreive this data. Follow-up is again being completed in a timely manner. |