INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on June 24, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 6CUO6701 Central Pennsylvania Recovery Associates, Llc. was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection and a plan of correction is required.
|
Plan of Correction
|
§ 717.18(a) LICENSURE Training
§ 717.18. Training.
(a) The licensee shall develop and implement written staff development policies and procedures that identify the person responsible and the time frames for completion of the following:
(1) An assessment of training needs for each staff person and volunteer.
(2) A plan for addressing those needs.
(3) A mechanism to collect feedback on completed training.
|
Observations
Based on a review of the house manager personnel record, the recovery house failed to provide feedback on completed trainings and a training plan for the next training year.
The house manager was hired in this position on February 1, 2023. The trainings provided for the training year did not provide training feedback forms. Also, there was not a training plan developed for the next training year.
These findings were reviewed with the recovery house staff during the licensing process.
|
Plan of Correction
A revision was made to the Training Policies, adding a training procedure. This includes a training plan form and a training feedback form.
Training plan for the one team member has a training planned developed as per the newly revised procedure.
A copy of this revised procedure is available to share. Completed 6/27/2025.
The House Manager is responsible for corrective action and the House Manager will monitor and ensure it does not recur. |