INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on February 16 - 17, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Alcohol and Drug Abuse 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 on March 18, 2010.
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Plan of Correction
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709.24(a)(3) LICENSURE Treatment/Rehabilitation Management
709.24. Treatment/rehabilitation management.
(a) The governing body shall adopt a written plan for the coordination of client treatment and rehabilitation services which includes, but is not limited to:
(3) Written procedures for the management of treatment/rehabilitation services for clients.
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Observations
Based on a review of the client records, the facility is combining outpatient treatment activities with residential treatment activities, permitting the patients involved in the outpatient activity to attend residential group therapy though the patients have been admitted to distinct and separate treatment activities.
The findings include:
The facility supervisor confirmed that outpatient clients in the intensive outpatient program attend group therapy at the residential treatment program. The two hour residential treatment groups are attended by outpatient clients on Monday, Wednesday and Friday of each week.
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Plan of Correction
ADAS does not agree with this citation but, in accordance with Department of Health standards, we are submitting a plan of correction to demonstrate how we will comply. We will comply with this standard by discontinuing the operation of IOP services at this facility. |