INITIAL COMMENTS
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This report is a result of a follow-up in reference to an incident report investigation conducted on February 8, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the follow-up to an incident report investigation, Colonial House Outpatient was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. A plan of correction must be submitted by March 22, 2010.
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Plan of Correction
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709.93(a)(11) LICENSURE Client records
709.93. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following:
(11) Follow-up information.
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Observations
Based on the review of the client record involved in the incident report, the facility failed to conduct a follow-up contact for this client.
The findings include:
Based on the review of one client record on February 8, 2010 the facility failed to document a follow-up contact for this client. An interview with the facility director confirmed that follow-up was not conducted for this client.
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Plan of Correction
The agency will add the Follow up paper to the Quality Control Checklist and make sure that it is in the chart when being QA'd |