INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 28-29, 2009 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Recovery Resources, A Service of Twin Lakes Center, 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 October 23, 2009.
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Plan of Correction
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709.30 LICENSURE Client Rights
709.30. Client rights.
The project director shall develop written policies and procedures on client rights and shall demonstrate efforts toward informing clients of the following:
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Observations
Based on a review of the client orientation materials, the facility failed to demonstrate efforts to inform clients of their right to submit rebuttal data or memoranda to their own record.
The findings include:
The client orientation paperwork was reviewed on September 22, 2009. The facility failed to inform the client regarding the client's right to submit rebuttal data or memoranda to their own record.
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Plan of Correction
The listing of Patient Rights has been transcribed from the department regulations and has been posted in patient accessible areas as of 10/6/09
The office secretary will be responsible to maintain this posting and replace it if it becomes illegible or is remove for any reason.
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