INITIAL COMMENTS
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This report is a result of an on-site licensure renewal and methadone monitoring inspection conducted on February 8, 2023 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, PA Care, LLC d/b/a State College Medical 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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715.23(c)(1-7) LICENSURE Patient records
(c) An annual evaluation of each patient 's status shall be completed by the patient 's counselor and shall be reviewed, dated and signed by the medical director. The annual evaluation period shall start on the date of the patient 's admission to a narcotic treatment program and shall address the following areas:
(1) Employment, education and training.
(2) Legal standing.
(3) Substance abuse.
(4) Financial management abilities.
(5) Physical and emotional health.
(6) Fulfillment of treatment objectives.
(7) Family and community supports.
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Observations
Based on a review of eight patient records, the facility failed to document an annual clinical evaluation of the patient in one of five applicable patient records.Patient #7 was admitted on November 20, 2013 and was discharged on December 9, 2021. The most recent annual evaluation was due no later than November 20, 2022; however, it was not documented as of the date of the inspection.These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Counselors will print out their Services Due list at the beginning of the month and cross-check that these services are on their calendars. Clinical Supervisor will print out monthly Services Due lists for each counselor and monitor to be sure that services are being completed on time. Training on this increased level of monitoring will be held at the 2/22/23 staff meeting. |