INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on December 19, 2023, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, New Insights II, 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:
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Plan of Correction
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709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on a review of administrate documentation, the facility failed to document an annual financial audit of activities associated with the project ' s drug and alcohol abuse services.
There was no documentation of an annual financial audit for the years of 2020, 2021 and 2022.
This is a repeat of citation from the November 16, 2020 and January 26, 2022 from the licensing inspections.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
The President and CEO is responsible for obtaining the financial audit for the company. The financial audits for the years 2020, 2021, and 2022 were completed by a certified public accountant on 12/31/2023. They will be available for review at the next inspection. The President has retained the same certified public accountant to complete the audit for 2023. This audit will be completed by New Insights II's next inspection. |
709.17(a)(3) LICENSURE Subchapter B.Licensing Procedures.Refusal/rev
709.17. Refusal or revocation of license.
(a) The Department may revoke or refuse to issue a license for any of the following reasons:
(3) Failure to comply with a plan of correction approved by the Department, unless the Department approves an extension or modification of the plan of correction.
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Observations
Based on a review of administrative information, the facility failed to comply with plans of corrections that were approved by the Department. Plans of correction for an annual financial audit of activities associated with the project ' s drug and alcohol abuse services were submitted and approved by the Department for the November 16, 2020, January 26, 2022 and November 17, 2022 annual licensing inspections. During a review of the administrative information, the Department learned that the facility did not follow their plan of correction dated December 14, 2022 in the completion of the annual financial audit of activities associated with the project ' s drug and alcohol abuse services for the years of 2020, 2021 and 2022.
This is a repeat citation from the November 17, 2022 licensing inspection.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
The Executive Assistant is responsible for the plan of corrections and the timeframes. Every effort was made to ensure the plan of corrections was followed. To avoid this happening in the future, there will be more realistic timeframes for completion listed. |