INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on April 1-2nd 2019 of Perry Human Services, Inc by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, Program Licensure Division. Based on the findings of the on-site inspection, Perry Human Services, 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:
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Plan of Correction
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709.28 (c) (2) LICENSURE Confidentiality
§ 709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent must be in writing and include, but not be limited to:
(2) Specific information disclosed.
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Observations
Based on a review of client records, the facility failed to keep disclosures of client identifying information within the limits established by 4 Pa. Code 255.5 (b) for releases of information in client record #2.Client #2 was admitted on August 28, 2018 and was still active at the time of the inspection. A conset to release form was signed and dated on August 22, 2018 to a government agency that allowed for release of psycho-social history and drug and alcohol evaluation.
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Plan of Correction
Director completed an on site confidentiality training refresher for all clinical staff which was completed at on 4/15/19. Updated the release form for prison inmates to ensure correct information on the SCA release. Director will continue to review all releases during chart audit's monthly to ensure compliance. |