INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on August 9, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Addiction and Behavioral Counseling Associates dba Matrix 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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709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on the review of administrative documentation, the facility failed to document an annual financial audit for the fiscal year ending in 2020. There was no documentation that an audit had been completed for the year ending in 2020. These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Project Director will be responsible to ensure that the annual financial audit is completed every year. The Project Director will obtain an independent CPA by the completion of every fiscal year to conduct the annual financial audit. The Project Director will be responsible to ensure the audit is completed each year, and the Project Director will also ensure this deficiency does not recur. |