INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on February 22, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, GGF76701 Skyline Recovery was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
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Plan of Correction
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§ 717.18(c)(3) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
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Observations
Based on a review of staff records, the recovery house failed to complete sexually transmitted disease training using a department approved curriculum.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Both staff members are enrolled in the next availalble DDAP TB/STD/Hep C training being held on 4/10/2023 by BTHEN. |
§ 717.22(b)(2)(i) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(2) Resident orientation to the drug and alcohol recovery house which must include:
(i) Drug and alcohol recovery house rules, including a method to record residents' expected return time to the drug and alcohol recovery house.
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Observations
Based on a review of resident records and a physical plant inspection at the recovery house, the recovery house failed to have a method to record resident's expected return time to the drug and alcohol recovery house.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
A sign in sheet has been placed on the community area for participants to sign in and out of. |
§ 717.22(b)(3)(iii) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(3) Basic personal data including:
(iii) Demographic information.
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Observations
Based on a review of resident records, the recovery house failed to collect basic personal data including demographic information.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
A revised intake form has been added to the participant contract to collect this required information. |
§ 717.22(b)(3)(iv) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(3) Basic personal data including:
(iv) Medical information provided by the resident, including allergies, asthma, seizure disorder, diabetes, pacemaker, and other medical conditions that the resident chooses to have in the house record.
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Observations
Based on a review of resident records, the recovery house failed to collect basic personal data including , medical information provided by the resident, including allergies, asthma, seizure disorder, diabetes, pacemaker, and other medical conditions that the resident chooses to have in the house record.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
A revised intake form has been added to the participant contract to collect this required information. |
§ 717.22(b)(3)(v) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(3) Basic personal data including:
(v) Drug and alcohol history.
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Observations
Based on a review of resident records, the recovery house failed to collect basic personal data including drug and alcohol history.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
A revised intake form has been added to the participant contract to collect this required information. |
§ 717.22(b)(3)(vi) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(3) Basic personal data including:
(vi) Medical contact information.
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Observations
Based on a review of resident records, the recovery house failed to collect basic personal data including medical contact information.
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These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
A revised intake form has been added to the participant contract to collect this required information. |
§ 717.22(b)(3)(vii) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(3) Basic personal data including:
(vii) Emergency contact.
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Observations
Based on a review of resident records, the recovery house failed to collect basic personal data including emergency contact information.
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These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
A revised intake form has been added to the participant contract to collect this required information. |