INITIAL COMMENTS
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This report is a result of an on-site complaint investigation conducted on 11/16/16 by staff from the Division of Accountability and Program Improvement. Based on the findings of the on-site complaint investigation, Another Way, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. Therefore, a plan of correction is required.
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Plan of Correction
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709.28(a)(1) LICENSURE Confidentiality
709.28. Confidentiality.
(a) A written procedure shall be developed by the project director which shall comply with 4 Pa. Code 255.5 (relating to projects and coordinating bodies: disclosure of client-oriented information). The procedure shall include, but not be limited to:
(1) Confidentiality of client identity and records.
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Observations
The facility failed to maintain the confidentiality of a client's identity.
It was reported by a client and corroborated by the facility that one of facility's clinical staff members identified a client's identity and treatment status to a member of the local community.
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Plan of Correction
When the incident happened on 8/19/16 the Therapist was given an employee write up on 8/24/16 and an immediate supervision was given by the Facility Director on 8/24/16. The therapist was sent to a DDAP approved Confidentiality training on 5/31/16. The therapist will be sent to a DDAP approved practical applications for confidentiality training as soon as available. The Facility Director will continue to provide ongoing monitoring to ensure the therapist continues to comply with confidentiality. The facility will be in full compliance on 12/7/16. |