INITIAL COMMENTS
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DDAP reviewed an unusual incident report submitted by Merakey Riverview Wellness Village I6HO6701 on 5/26/25 at 8:00am. DDAP rejected the unusual incident report and directed the recovery house to correct information as indicated in the rejection reason and comments, then resubmit the unusual incident report. The recovery house failed to follow DDAP ' s directive and is therefore not in compliance with 28 PA Code, Chapter 717, 717.31 (related to unusual incidents).
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Plan of Correction
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§ 717.31(c)(4) LICENSURE Unusual incidents - 3-day Filing
§ 717.31. Unusual incidents.
(c) The licensee shall file a written unusual incident report with the Department within three business days following an unusual incident involving:
(4) An event at the drug and alcohol recovery house requiring the presence of police, fire or ambulance personnel.
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Observations
Based on noncompliance with 3-day reporting and not following DDAPs verbal and written directive the recovery house requires to submit a plan of correction and resubmit the unusual incident report.
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Plan of Correction
Program Director/Client Services Coordinator will ensure DDAP incident reports are submitted using accurate program numbers
PD/CS will ensure all IR are submitted to DDAP in the DDAP IR system within the required time frame
PD/CS will review all IR prior to submission to ensure accuracy and that no identifiable information is in IR.
PD/CS will address all requested follow up from DDAP within 24 hours of request.
This will take effect as of date of 1/26/2026 - day of resubmission. |