INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on 05/31/2024 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, The Gatehouse 3W6N6701 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 recovery house failed to have staff complete the HIV/AIDS, tuberculosis and sexually transmitted diseases training using a department approved curriculum within the first 90 days of hire in 1of 2 staff records.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
In an effort to address citation 717.18(c)(3), the following will be implemented:
Beginning on 6/10/2024, the administrative staff will look for an department approved curriculum for HIV/AIDS/TB/STD training to register the recovery house staff within their initial 90 days of employment. In addition, the existing recovery house staff will attend and complete the training within the next 90 days.
The house manager will monitor the progress of this action step.
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