This report is a result of an on-site licensure renewal inspection and methadone monitoring conducted on July 8, 2024 through July 9, 2024 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Addiction Medicine and Health Advocates, 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:
|
Plan of Correction
|
Observations
Based on a review of patient records, the narcotic treatment program failed to document the results of an annual physical examination given by the narcotic treatment program, which is to include an annual reevaluation by the narcotic treatment physician in one of seven patient records reviewed.
Patient #6 was admitted December 15, 2017, and was discharged January 29, 2024. The last physical examination documented in the record was dated on December 13, 2022. There was no annual physical examination completed during 2023.
These findings were reviewed with facility staff during the licensing process.
|
Plan of Correction
Our Clinical Program Support staff member will utilize a spreadsheet to track due annual physical exams. She will schedule patients ahead of their due date to allow for timely completion. She will inform the Clinical Program Manager if any patient is not in compliance by their due date so this can be addressed with patient and their counselor. The Clinical Program Manage will be responsible for oversight of this process. |