Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 1, an abbreviated off-site inspection, conducted on April 10, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.
Based on the findings of Part 1, an abbreviated off-site inspection, Familylinks, 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:
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Plan of Correction
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Observations
The facility failed to document an annual financial audit.
Administrative documentation was reviewed. The facility did not document an annual audit for the fiscal year 2018/2019.
These findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
709.25 LICENSURE
Fiscal Management:
#0169 The Program Manager reviewed findings on April 10, 2020 with Familylinks Director of Behavioral Health and Familylinks Financial Controller that the agency must obtain the services of an independent certified public accountant for an annual financial audit of activities associated with Familylinks drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities must have been conducted and finalized by December of 2019. Familylinks Financial Controller will provide Program Manager with cover page of the final version of audit reviewed and signed by the certified public accountant for submission for review for licensing inspection. Program Manager reviewed with Familylinks Financial Controller that this audit must be completed and signed off on by independent certified public accountant no later than the last day of December each fiscal Year.
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