INITIAL COMMENTS
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This report is a result of a complaint investigation conducted on August 31, 2016 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site, the allegations against Treatment Trends-Keenan House were partially substantiated. Therefore, the facility 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:
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Plan of Correction
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709.28(c) LICENSURE Confidentiality
709.28. Confidentiality.
(c) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to:
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Observations
The project failed to obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record.
It was documented in the client's file that a facility staff member released the client's name to a memeber of the public without a signed consent form.
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Plan of Correction
The program director had each Keenan House staff member review the laws and expectations regarding confidentiality to ensure standard 709.28(C) was met.
Signatures were provided by all staff upon completion of the review. All staff had reviewed the regulations and signed their understanding by October 21, 2016 |