INITIAL COMMENTS
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This report is a result of an renewal on-site licensure inspection conducted on March 28, 2023 by staff from the Bureau of Program Licensure. Based on the findings of the on-site inspection, 418E6701 Emilie House was found to not be in compliance with the applicable chapters of 28 PA Code, Chapter 717 which pertains to Recovery House licensing.
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Plan of Correction
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§ 717.19(b) LICENSURE Resident Rights
§ 717.19. Resident rights.
(b) The licensee shall obtain written acknowledgement by residents that they have received notice of their rights.
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Observations
Based on a review of resident records, the recovery house failed to obtain written acknowledgment that the resident has received notice of their rights.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The House Manager has added the approved Residents Rights Form to the intake packet for residents to be signed upon admission and has implemented the use of a checklist of required completed forms to be completed by the House Manager within 24 hours of intake as of 4/4/23. |
§ 717.22(b)(2)(iv) 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:
(2) Resident orientation to the drug and alcohol recovery house which must include:
(iv) Financial policies and procedures.
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Observations
Based on a review of resident records, the recovery house failed to complete the following documentation, which must be signed by the resident within 24 hours of arrival:
(2) Resident orientation to the drug and alcohol recovery house which must include:
(iv) Financial policies and procedures.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The House Manager has added the approved Resident Orientation Form that incudes financial policies and procedures to the intake packet for residents to be signed upon admission and has implemented the use of a checklist of required completed forms to be completed by the House Manager within 24 hours of intake as of 4/4/23.
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§ 717.22(b)(3)(vii) 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:
(3) Basic personal data including:
(vii) Emergency contact.
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Observations
Based on a review of resident records, the recovery house failed to obtain emergency contact information from the resident.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The House Manager has added a supplementary Emergency Contact Form to the Intake pack for residents to be signed upon admission and has implemented the use of a checklist of required completed forms to be completed by the House Manager within 24 hours of intake as of 4/4/23. |
§ 717.22(b)(4) 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:
(4) Consent to residency.
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Observations
Based on a review of resident records, the recovery house failed to obtain a signed consent to residency within 24 hours of arrival.
These findings were reviewed with the recovery house staff during the licensing process.
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Plan of Correction
The House Manager has added the approved Consent to Residency Form to the intake packet for residents to be signed upon admission and has implemented the use of a checklist of required completed forms to be completed by the House Manager within 24 hours of intake as of 4/4/23. |