Foundations' RTC cited for life safety and patient assessment violations

Foundations Behavioral Health Perseverance 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 during a site inspection survey. The deficiencies related to fire safety, health and safety assessments, medication logs, patient rights, Individual Service Plans (ISPs) and complete and accurate medical records. DHS found five deficiencies related to life safety standards during the facility inspection. DHS found that building exits were equipped with magnetic key-locking devices that are strictly prohibited by Pennsylvania safety laws because it prevents immediate egress, or exit, from a building during an emergency. DHS also found that the fire drill logs for May 2012 through May 2013 did not include the exit route used during the drills or whether the fire alarm or smoke detector in the facility worked. DHS also found that Foundations Behavioral could not provide the required documentation that the facility notified the “local fire officials of the address of the facility, location of bedrooms and assistance needed to evacuate in an emergency.” During medical record review, DHS found that “child 1’s health and safety assessment completed on 9/25/12 indicates that the child has a history of self-injurious behaviors and aggressive and violent behaviors” and that “child 2’s health and safety assessment completed on 2/21/13 indicates that the child has a history of self-injuries behaviors.” However, inspectors could not find the required health and safety risk plans to protect these patients. DHS also found that the facility had violated regulations that require facilities to keep a medication log for each child. Specifically, DHS found that “child 1’s medication log [did] not include the name of the prescribing physician for the medications Desmopressin 0.2mg and Levothyroxine 100mg.” DHS also cited the facility for deficiencies related to notifying patients and families of patient rights,  complete Individual Service Plans (ISPs) that addressed patients’ educational needs, and complete and accurate medical records. The facility submitted a plan of correction  to address these cited deficiencies.