INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 28, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 92WU6701 Sees The Day, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during the inspection, and a plan of correction is required.
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Plan of Correction
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§ 717.23 LICENSURE Notification of decision to end residency
§ 717.23. Notification of decision to end residency.
(a) The licensee shall notify the resident in writing of a decision to end residency. The notice must include the reason and a timeframe for ending residency.
(b) The resident shall have an opportunity to request the licensee reconsider a decision to end residency before the decision to end residency takes effect.
(c) The resident may decide to end residency without providing a reason to the licensee.
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Observations
Based on a review of residents records, the facility failed to provide the resident in writing, notification to the resident stating the decision to end residency that includes the reason, a timeframe for ending residency, and notification to the resident they have an opportunity to request the licensee to reconsider a decision to end residency before the decision to end residency takes effect.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The deficiencies identified during the inspection have been recognized and moving forward in writing the reason, timeframe and notification to the resident, giving them the opportunity to to reconsider their decision to end residency before the decision to end residency takes place.
This issue will be managed by the Director of Operations. |
§ 717.27 LICENSURE Notification to family or emergency contact
§ 717.27. Notification to family member or emergency contact.
(a) The licensee shall develop and implement written policies and procedures that specify the methods and circumstances, including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent. The resident may revoke consent to provide notice to the emergency contact.
(b) The licensee shall make at least one attempt to notify the resident ' s emergency contact in accordance with subsection (a) immediately and in no event more than 12 hours after the resident decides to end residency or does not return to the drug and alcohol recovery house as expected. This subsection shall not apply if the licensee knows or has reason to know of allegations of domestic abuse on the resident by the emergency contact.
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Observations
Based on one of two applicable discharged resident records reviewed, the facility failed to provide notification to the emergency contact stating the resident ' s decision to end residency or not returning to the drug and alcohol recovery house as expected.
Resident #6 was admitted on July 2, 2025, and was discharged August 4, 2025. There was not a notification to the emergency contact provided in the resident record.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
During the inspection 2 of the resident records did not have documentation regarding notification to emergency contact, resident's decision to end residency or not returning to the recovery house as expected. Moving forward Director of operations will be more accountable with documentation including date and reason and notifying emergency contacts, reason to end residency, reason why resident did not return to recovery house as expected.
Each time a resident is discharged or leaves resident will be contacted and records will be updated immediately by Director of Operations
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§ 717.29(e)(3) LICENSURE Physical plant standards - Bathrooms
§ 717.29. Physical plant standards.
(e) Bathrooms. The licensee shall:
(3) Have hot and cold water under pressure. Hot water temperature may not exceed 120°F.
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Observations
Based on a physical plant inspection, the facility failed to keep the water temperature from exceeding 120 degrees Fahrenheit. The water temperature in the bathroom was read at 155 degrees Fahrenheit.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
Based on the inspection the water temperature was not at the appropriate temperature. This has been corrected by adjusting the temperature dial on the water tank.
The House Manager will implement a weekly schedule to check the temperature as well as the house president notifying us on any changes. |