This report is a result of a combined on-site methadone monitoring, licensure renewal inspection and complaint investigation conducted on October 28 & 29, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Based on the findings of the on-site inspection, Tadiso Inc., 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:
|
Plan of Correction
|
Observations
Based on a review of client records, the facility failed to document an annual evaluation of each's patient status that was signed by the medical director.
The client records were reviewed on October 28-29, 2020. Client records #4, #5 and #7 were required to have documentation of an annual evaluation including the required 7 areas as well as the medical director signature. Client records #4, #5 and #7 had documentation of an annual case consultation that did not address all of the required areas, nor did it have the signature of the medical director.
These findings were reviewed with facility staff during the licensing process.
|
Plan of Correction
Tadiso will add the Medical Director's signature to the 1st quarter, 2nd quarter, 3rd quarter, and annual case consultations for each patient. Tadiso will also add two areas to the case consultations, "Improved Mental Health" and "Family and Community Supports". The Director of Social Service will ensure completion of the task and will monitor compliance with our Quality Assurance Dept. Tadiso will be in compliance with this standard by 11/18/2020.
|