INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 28, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection FDS26701 Sees The Day, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during the inspection, and a plan of correction is required.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on a review of residents records, the facility failed to provide the resident in writing, notification to the resident stating the decision to end residency that includes the reason, a timeframe for ending residency, and notification to the resident they have an opportunity to request the licensee to reconsider a decision to end residency before the decision to end residency takes effect.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
During the review of residents records, the resident's records did not have in writing, notification to the resident stating the decision to end residency that includes the reason, a timeframe for ending residency, and notification to the resident they have an opportunity to request the licensee to reconsider a decision to end residency before the decision to end residency takes effect.
Moving forward the Director of Operations will be sure to contact the resident giving the resident the opportunity to reconsider the decision to end the residency. The Director of Operations will document the reason, timeframe and final decision to end residency. Also offering assistance if needed to a rehab or other living arrangements. |
§ 717.27 LICENSURE Notification to family or emergency contact
§ 717.27. Notification to family member or emergency contact.
(a) The licensee shall develop and implement written policies and procedures that specify the methods and circumstances, including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent. The resident may revoke consent to provide notice to the emergency contact.
(b) The licensee shall make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
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Observations
Based on one of four applicable discharged resident records reviewed, the facility failed to provide notification to the emergency contact stating the resident ' s decision to end residency or not returning to the drug and alcohol recovery house as expected.
Resident # 5 was admitted on December 27, 2024, and was discharged April 15, 2025. There was not a notification to the emergency contact provided in the resident record.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Upon inspection of resident records reviewed, the facility failed to provide notification to the emergency contact stating the residents decision to end residency or not returning to the drug and alcohol recovery house as expected.
Resident # 5 was admitted on December 27, 2024, and was discharged April 15, 2025. There was no documentation of notification to the emergency contact provided in the resident record.
The Director of Operations will be responsible of documenting time of arrival, discharge date/reason and notification of emergency contact outcome. |