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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA FOCUS HOUSE
5401 WAYNE AVENUE
PHILADELPHIA, PA 19144

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Survey conducted on 07/11/2018

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on July 11, 2018 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Gaudenzia Focus House was found to be not in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
 
Plan of Correction

709.72(a)(1)  LICENSURE Consent Forms

709.72. Client records. (a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following: (1) Consent forms.
Observations
The facility failed to update client consent to release information forms in 2 of 4 client records.

Client #1 was admitted on August 17, 2015. The release of information forms to the Primary Care Physician, Social Security Administration, Department of Health, and Intense Case Manager expired August 17, 2017. The release of information form to a treatment provider expired on January 3, 2018. Updated forms were not completed as of the date of the inspection.

Client #2 was admitted on June 23, 2015. The release of information forms to the Department of Public Welfare, Social Security Administration, Intense Case Manager & Resource Coordinator, Department of Behavioral Health and Primary Care Physician expired on June 24, 2017. The release of information forms to a treatment provider, Court of Common Pleas and Probation and Parole expired on January 3, 2018. Updated forms were not completed as of the date of the inspection.



These findings were reviewed with the facility director and facility staff during the licensing process.
 
Plan of Correction
1. Supervisor audited each residents' charts immediately to ensure all members consent to release information forms are current and updated as required by Regulation 709.72(a)(1).



2. Supervisor will audit resident charts monthly to ensure ongoing compliance with Regulation 709.72(a)(1).



3. Director/Administrator will review resident charts quarterly to ensure compliance with Regulation 709.72(a)(1).

 
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