INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on August 27, 2009 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Cen-Clear Child 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 and a plan of correction is due September 18, 2009.
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Plan of Correction
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709.22(e)(3) LICENSURE Governing Body
709.22. Governing body.
(e) If a facility is publicly funded, the governing body shall make available to the public an annual report which includes, but is not limited to:
(3) A statement disclosing the names of officers, directors and principal shareholders, where applicable.
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Observations
Based on a review of the annual report during the annual onsite licensing inspection of August 28, 2009, the facility failed to document an annual report which included a statement disclosing the names of officers, directors and principal shareholders.
The findings included:
The 2007-08 annual report was documented as required but a statement disclosing the names of officers, directors and principal shareholders was not included in the documentation as required.
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Plan of Correction
Assitant to the Executive Director is responsible to compile the CCS annual board report that is due late September 09. The assistant is responisble to add to the board report names of board members and principle stakeholders. This will be reviewed with the Facility Director. |