INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 14, 2026, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Resources for Human Development 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:
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Plan of Correction
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709.24 (a) (3) LICENSURE Treatment/rehabilitation management.
§ 709.24. Treatment/rehabilitation management.
(a) The governing body shall adopt a written plan for the coordination of client treatment and rehabilitation services which includes, but is not limited to:
(3) Written procedures for the management of treatment/rehabilitation services for clients.
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Observations
Based on a review of client records, the facility failed to follow their written procedures for notifying emergency contacts within twelve hours if a client leaves Against Staff Advice (ASA) in one of two applicable records reviewed.
Client #4 was admitted to the inpatient non-hospital residential level of care on December 22, 2025, and was discharged Against Staff Advice (ASA) on March 13, 2026. The facility failed to follow their policy related to ASA discharges of calling the emergency contact within twelve hours.
These findings were reviewed with project staff during the licensing process.
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Plan of Correction
Program Director and Residential Manager will hold staff trainings to review policy and ensure understanding, to conclude by June 26.
Further, Program Director will review the electronic health record entries after such events to ensure the notice made is accurately reflected with date and time of the notice made. |
709.51(b)(6) LICENSURE Psychosocial evaluation
709.51. Intake and admission.
(b) Intake procedures shall include documentation of:
(6) Psychosocial evaluation.
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Observations
Based on a review of client records and the project ' s policies and procedures, the project failed to document a psychosocial evaluation within two weeks of the admission date, per the project ' s policy, in three out of seven records reviewed.
Client #2 was admitted to the inpatient non-hospital level of care on March 26, 2026, and was active at the time of the inspection. A biopsychosocial evaluation was not documented in the client record at the time of the inspection.
Client #3 was admitted to the inpatient non-hospital level of care on April 8, 2026, and was active at the time of the inspection. A biopsychosocial evaluation was not documented in the client record at the time of the inspection.
Client #4 was admitted to the inpatient non-hospital residential level of care on December 22, 2025, and was discharged on March 13, 2026. A biopsychosocial evaluation was not documented in the client record at the time of the inspection.
These findings were reviewed with project staff during the licensing process.
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Plan of Correction
Program Director and the counselor(s) will review policy in weekly meeting, by end of week 6/5/26. Counselor completed evaluations in the client records as of 6/12. Program Director will run report from the electronic health record each week and confirm the timely completion of evaluations. |