INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on May 26, 2026, by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection 6Q2Z6701 Sunny Day Sober Living, Llc was found to not be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, deficiencies were identified during this inspection, and a plan of correction is required.
|
Plan of Correction
|
§ 717.22(b)(1) LICENSURE Beginning of Residency
§ 717.22. Beginning of residency.
(b) The licensee shall complete the following documentation, which must be signed by the resident, within 24 hours of arrival:
(1) Disclosure to the resident of criteria for beginning and ending residency.
|
Observations
Based on seven resident records reviewed, the facility failed to provide documentation, signed by the resident, disclosing the criteria for beginning and ending residency. These findings were reviewed with the recovery house staff during the licensing process
|
Plan of Correction
A beginning / ending of residency criteria form has been created and will be instituted by the house manager on all future intakes.
A paragraph being more descriptive has been added to the handbook as well.
The owner will audit this process bi-monthly. |
§ 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.
|
Observations
Based on one of three discharged resident records reviewed, the facility failed to provide written notification to the resident stating the decision to end residency.Resident # 5 was admitted on September 11, 2025, and discharged February 1, 2026. There was no documentation of an end to residency in the resident record.These findings were reviewed with the recovery house staff during the licensing process
|
Plan of Correction
The End of Residency form has been updated to include date and time exited along with date and time emergency contact has been notified. This form will be used on all future exits, successful or non-successful.
The House Manager will audit this weekly for all new intakes. |
§ 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.
|
Observations
Based on a review of resident records, the facility failed to provide documentation specifying the methods and circumstances including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent and that the resident may revoke consent to provide notice to the emergency contact in accordance with 717.27 (a) in resident record # 6.Resident #6 was admitted on October 23, 2025, and discharged December 16, 2025. These findings were reviewed with the recovery house staff during the licensing process
|
Plan of Correction
Documentation specifying the methods and circumstances including the resident ' s hospitalization or death, for notifying the resident ' s emergency contact with the resident ' s consent and that the resident may revoke consent to provide notice to the emergency contact in accordance with 717.27 (a) HAS been added to the handbook. All details will be reviewed with each new resident and current residents by the house manager.
The owner will audit this monthly. |