Fairmount Behavioral Health System was cited during a licensing inspection completed by the Pennsylvania Department of Human Services (DHS, or formerly the Dept. of Public Welfare) for deficiencies related to noncompliance with regulations around program licensure and approval, gross incompetence, and background clearances for prospective employees.
During the inspection, DHS found “legibility issues and incomplete sections… on Consumer a’s observation sheets on January 25, 2012.” DHS then requested that “this chart be returned the next day for further review.” However, inspectors found that “sections on the observation sheets that were incomplete the previous day had been filled in.” The agency determined that “an RN had gone back and falsified the missing information.”
DHS also found 10 staff members that “did not have FBI Background clearances on file that were completed within 30 days of their date of hire.” One staff member “did not have a Child Abuse clearance on file that was completed within 30 days of hire” per regulations.
The facility agreed to correct these deficiencies and ensure all staff clearances in the plan of corrective action.