INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted October 17, 2024, by staff from the Bureau of Program Licensure. Based on the findings of the on-site complaint investigation, Conewago Snyder was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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Plan of Correction
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709.34 (c) (1) LICENSURE Reporting of unusual incidents
§ 709.34. Reporting of unusual incidents.
(c) To the extent permitted by State and Federal confidentiality laws, the project shall file a written unusual incident report with the Department within 3 business days following an unusual incident involving:
(1) Physical or sexual assault by staff or a client.
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Observations
The facility failed to file a written unusual incident report with the Department following a physical or sexual assault a client as evidenced by security camera video and administrative documentation.
On August 1, 2024 a client was physically/sexually assaulted by other clients. The facility did not send an unusual incident reports as required.
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Plan of Correction
Facility Director will retrain staff on incident reporting procedures and all incident types listed on the Unusual Incident Report Form. This training will take place during the monthly staff meeting held on 10-31-24 at 8:00 am. Facility Director will reference the following document during the retraining.
LICENSING ALERT 01-2024
Reporting of Unusual Incidents |