“Source of health care that will be used in an emergency, the method of transportation to be used, an emergency staffing plan, and medical and behavioral health conditions or situations under which emergency medical care and treatment are warranted.”DHS also cited Determination Hall for deficiencies related to notifying patients and families of patient rights, adequate facility maintenance, complete Individual Service Plans (ISPs) that addressed patients’ educational needs, and complete and accurate medical records. Just several months earlier in June 2013, another residential treatment program within the facility, Perseverance Hall, received similar citations. In both instances, the facility submitted plans of correction to address the cited deficiencies.
Foundations Behavioral Health Determination Hall, a Residential Treatment Center for children, was cited by the Pennsylvania Department of Human Services (DHS, formerly known as the Dept. of Public Welfare) for multiple deficiencies. These include deficiencies related to fire safety, health and safety assessments and exams, emergency medical plans, patient rights, facility maintenance, Individual Service Plans (ISPs), and medical records. DHS found that “all three of the exits in the facility are equipped with magnetic key-locking devices, which prevents immediate egress from the building.” DHS also cited the facility for not providing documentation that it notified local fire officials of the facility address, locations of bedrooms, and patients who needed assistance in evacuating the building. DHS also found that the fire drill logs for May 2012 through May 2013 did not include the exit route, the time of day the drills were conducted, or the number of children in the facility at the time of the drills. DHS also found that the facility had failed to “complete a health and safety plan” as required by Pennsylvania law for two children receiving residential treatment services. DHS noted that “child 1’s health and safety assessment completed on 9/19/12 indicates that the child has a history of aggressive and violent behaviors,” but the “facility did not complete a health and safety plan.” DHS also noted that “child 2’s health and safety assessment completed on 2/26/13 indicates that the child has a history of self-injurious behaviors” but there was no health and safety plan. The DHS also found that the facility violated state regulations around health exams because the facility’s exam forms did not include a section for “behavioral health history and physical or mental disabilities.” DHS also cited the facility because the “facility’s emergency medical plan [did] not include an emergency staffing plan, even though Pennsylvania law requires that a facility have a written emergency medical plan that lists: