INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 31, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 9OFP6701 Rios Recovery House 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.
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Plan of Correction
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§ 717.20(a)(1) LICENSURE Resident Records
§ 717.20. Resident records.
(a) The licensee shall maintain an individual record for each resident which must include:
(1) All records obtained under § 717.22.
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Observations
Based on a review of resident records, the recovery house failed to have a complete client records. Missing documentation pertained to all records obtained under 717.22(b).
These findings were reviewed with the recovery house staff during the licensing process
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Plan of Correction
On May 31st, 2024, Antoinette Sacco was the DDAP licensure who reviewed our recovery house renewal process. When going through client records, we had noticed some documentation was missing.
I understand that I need to be more organized and thorough with my resident's paperwork so that this mistake does not happen again.
I will make sure to have all residents fill out all paperwork instantly upon arrival and I will keep all paperwork organized and secured in my records folder. |
§ 717.27 LICENSURE Notification to family or emergency contact
§ 717.27. Notification to family member or emergency contact.
(a) The licensee shall develop and implement written policies and procedures that specify the methods and circumstances, including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent. The resident may revoke consent to provide notice to the emergency contact.
(b) The licensee shall make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
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Observations
Based on a review of resident records, the recovery house failed to make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (b) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected.
Findings:
In 1 out of 4 resident discharge records the recovery house failed to notify the emergency contact within 12 hours of residents departure.
These findings were reviewed with the recovery house staff during the licensing process
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Plan of Correction
On 05/31/2024, Antoinette Sacco was my DDAP renewal licensure. During the paperwork process, I had realized that I did not contact certain resident's emergency contact when they were discharged from our recovery home.
I understand how important it is to try and get a hold of the resident's emergency contact in this situation.
I will make sure to be more thorough and on top of my duties as a house manager/owner and will notify the emergency contact when any resident is to leave, be discharged or is missing. |