INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on June 28, 2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, Sunlight of the Sprit House WT0J6701 was found not to be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing. 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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§ 717.18(c)(4) LICENSURE Training
§ 717.18. Training.
(c) In addition to training identified and provided under subsection (a), staff persons and volunteers shall complete the following within 90 days of becoming an employee or volunteer:
(4) Fire prevention and emergency preparedness, including use of a fire extinguisher.
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Observations
Based on a review of staff records, the recovery house failed to have staff complete the Fire prevention and emergency preparedness, including use of a fire extinguisher within the first 90 days of hire in all staff records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
We held a training session on fire prevention and emergency preparedness. All staff were present and the certifications are now a part of our record. |
§ 717.19(b) LICENSURE Resident Rights
§ 717.19. Resident rights.
(b) The licensee shall obtain written acknowledgement by residents that they have received notice of their rights.
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Observations
Based on a review of resident records, the recovery house failed to obtain written acknowledgement by residents stating they have received notice of their rights in all resident records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
We have updated our intake paperwork with a resident rights section added. The resident rights document had already been in our program, we simply added it to the intake paperwork that every resident gets a copy of now. |