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, FQYZ6701 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 have been enrolled in the next available TB/STD/Hep C training being facilitated by BTHEN on 4/10/2023. |
§ 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 client 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
Sign in sheets have been placed in a binder in the community area for participants to use going forward. |
§ 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
An updated intake form has been added to the participation contract that is completed upon move it to obtain 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
An updated intake form has been added to the participation contract that is completed upon move it to obtain 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
An updated intake form has been added to the participation contract that is completed upon move it to obtain 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
An updated intake form has been added to the participation contract that is completed upon move it to obtain this required information. |
§ 717.29(e)(4) LICENSURE Physical plant standards - Bathrooms
§ 717.29. Physical plant standards.
(e) Bathrooms. The licensee shall:
(4) Provide privacy in toilets by doors, and in showers and bathtubs by partitions, doors or curtains. There must be slip-resistant surfaces in all bathtubs and showers.
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Observations
Based on a physical plant inspection at the recovery house, the recovery house failed to have a slip resistant surface in all bathtubs and showers.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Slip resistant mats were ordered the day of inspection and have since been placed where required. |