INITIAL COMMENTS
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This report is a result of a renewal on-site licensure inspection conducted on September 30, 2025, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, ROK16701 Porchlight Recovery 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)(3) 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:
(3) HIV/AIDS, tuberculosis and sexually transmitted diseases training using a Department approved curriculum.
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Observations
Based on a review of staff records, the facility failed to provide documentation of all staff persons and volunteers to complete HIV/AIDS, tuberculosis and sexually transmitted diseases training using a department approved curriculum within 90 days of hire. Staff #1 was hired as staff on January 31, 2024 and hired as house manager on September 1, 2025. There was no documentation of tuberculosis and sexually transmitted diseases training using a department approved curriculum being completed.These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
How the facility will correct the deficiency: Employee at ROK16701 is on a waiting list for TB training, we are waiting to hear back and complete training. Certificate will be sent to proper DDAP official.
How the facility will ensure it doesn't happen again: Ensure that all proper documentation is completed in a timely fashion and submitted to Director of Client Care for record retention.
Who is responsible for implementing and monitoring the corrective action (by title not proper name): Director of Client Care |