DEPARTMENT OF HUMAN SERVICES

Sent via e-mail: egilberQbethanyhomebrg
Mailing Date: January 30, 2017

Mr. Kevin Snyder, CEO
Bethany Home Inc,

-- RE EckGrou Home

Dear Mr. Snyder:

As a result of the Department of Human Services' licensing inspection on
November 28. 2016 oflhe above facility, the violations with 55 Pa Code Ch. 3800
(relating to Child Residential and Day Treatment Facilities) specified on the enclosed
License Inspection Summary were found.

All violations specified on the enclosed License inspection Summary must be
corrected by the dates specified on the License Inspection Summary and continued
compliance with 55 Facade 01.3800 must be maintained.

Sincerely,



zlak' MA
Child esidential Licensing Manager

    

Enclosure
Licensing Inspeciion Summary

Bureau of Human Services Licensing
100 Lackawanna Ave Room 330 i Scranton PA 15503 I can an 5595 ans slzle aa us

 

 

VIOLATION REPORT
CHILD RESIDENTIAL LICENSING - 55 Fallode Chapter 381w 

 

Name: ECK GROUP HOME mam Numb-r 2457a

 

 

 

   

 

Melinda CasIm Regin NOKIHEASI

 

 

 

 

Legal Enmy Andrus

Cenmcalels] a! Occupancy
02 LP
cams/1999
LI

 

ngram 'Iype- Licensed Capacity Number as lemen Servefl'
Residermal Services 14 7

 

I
legilEnlIly Nam EETHANV HOME INC 
I
I
I
I

InspetIIa-I: PaflIal am mum Mumhu: Manna: 

 

Rzzson(s) Inspeulian(s)
Imidem

 

 

ensue mm and ncpanmnm Represen
11/28/2016: Piazza, 6mm; Buiack, Amie 

 

 

Ofi-SIte Inspecfion D312: and Inspecms. 

 

 

 

other Details

Partial or FulI Ramum Indlcamrs:

CniId Demogriyhic Data 0! Inspection Dams

Age oi Children: Mum. av ledren WM:
0 lo 5 wars: N: Adjudicflw Dellnquem: I
um um . Dependent 7
14 |n yam: 3 Have Memal mum: 
18 |n 21 years: 4 Hm an Disabllw: 2

 

my" I a

 

 

 

 

 

Page 2503? 4.

 

means-reg Inspectipn Summery: 24576 - Piazza, Gerard
Facility Name: HOME:

 

Pa?ode 53300. I I I
3800 15(3) The'facility shall immediately report suSpECted abI'Ise of a child in accordance with 23 630126385
(relatlng to the Child Protective Services and Chapter 3490 (relating to protective services) 

 

2a DESCRIPTION OF VIOLATION 
On - Child 1 made allegaIIOns of sexual: abuee ha I Staff Mamba Aas the alleged perpetrator; This Incident 'w?as no;
reported through the Child Welfare Information Solution untillk 

 

3. PLAN OF CORRECTION (FOG) (Attach pages {Is necessary. Remember that you must Sign and date any {leached [321ng 
steps to oerrect the violaII'on described above and steps To prevent a similar violetiorI from ochIm'ng again If Steps cannot be completed
Immediatelyt I'rIcIu'de dates. by which Ihe steps will be completed

SLL Qb?mhe&a

 

 

-'Repeat Violation: No 7 A Date(s) .of Previohe Violationls): 

 

 

 

 

 

Signature of Legal Entity Represent
(Reqwred on; EVERY Paqu YUMW

 

Printed Name and Title of Legal Entig Represent-213w

(Required on EVERY Paqel+mHk?jL?r?Lfbl 37C Q4 Date lM

 

 

 

DEPARTMENTKUSLE ONLY- FACILITIES MAY NOT WRITE BELOW THIS 

 

 

The above plan 07- correction 0f Plan of as ,of 3041
(Date) 

Fully Implemented
Partially implemented Adequate: Progress.

The above plan of correction was approved by PM II Partially implemented a-lnadequate Progress
I (Initials) . -
Not Implemented

 

DEED

 

 

I
A I
- I 

 

 

 

 

Page 3 of 4

 

Licensing Insp?ctionSurnmary; 24575411232015 - Piazza, Gerard
Facility Name: ECK. GROUP HOME

 

REGULATION 55 Pa Code ?3800

3800.15(b) If there IS an allegation of child abuse involving facility staff persons the facility shall submit arid implement a
plan of superVISIon in accordance with 23 Pa 3. 6368 (relating to investigation of reports) and 3490. 56 (relating to
county agency investigation of suspected child abuse perpetrated by persons. employed or- supervised by child Care

services and residential 

 

23. DESCRIPTION OF VIOLATION

On - Child made allegations ofisexuai abuse, naming-Staff MemberAastbe alleged perpetrator; The facility did not submit 

and implement a plan of supewision.

 

PILLAN OF CORRECTION (POC) (Attach pages as necessary. Rememb?w that you must} sign and date. any attached pages)
molt/(la steps to correct the Violation deSo?rlbed above and steps to prevent. a similar violation tram occurring again. if steps Cannot be completed
immediately, include dates by which the steps will. be completed

 

Set: a,

 

 

 

 

 

 

Repeat Violation: No Datels) of PreVIous Violation(s)

 

 
   

Signature of Legal Entity Represe 
?Lid/Ag W,

(Required. on EVERY Page}

 

Printed Name and Title of Legal Entity Re . resentgtI?}
IRequured on - 0A [cl/Iii 

 

 

 

 

FACILITIES. MAY NOT WRITE BELOW THIS 

 

 

The above. plan of correction is approved as of Plan preemption implementation status as of ?33th
(Date)


Partially Implementede Adequate Progress

The-above plan of correction was approved by (tn-T Partially Implemented :inadquIate Progress? 

(Initials)



Not Implemented

 

 

 

 

 

 

 

Licensing Inspection summary: 24576 ?.1?1I28I2015?Piazza Gerard
Facility Name}; ECKIGRQUP HOME.

Page 4 off4i

 

1. REGULATION 55 Pa. Code ?3800
3800.16Ip) The facility shalt complete a written reportable inCIdent report, on a form prescribed by the Department and
send it to the appropriate Departmental reQio'n'aI offloe and the contracting agenoy; Within 2.4 hours

 

2a DE CRIPTION OF VIOLATION 
On Child #1 made allegations of sexual abLIse naming Staff. MemberA as the alleged perpetrator. This incident was not
- reported through the Home and Communlty services Information System . . . . . 7

 

3 PLAN OF CORRECTION (POC) (Attach pages as necessary Rememberthat you must sign and date any attached pages.)

Include steps to Correct the violation described above and steps to preVent a similar vioIarIon from occurring again. If steps cannoI be compieted
immedra.Ier,. incIude' date-s by which the steps wiII be completed

 

 

 

 

 

Repeat Violation: No Date(s) of Previous 

 

 

"Signature of Legal Entity Represent

 

 

 

(Required an EVERY Pedal. .

Printed Name and Title; of Legal EntIty?RepresentatIye

(Requ'red 0" EVERY Pamv?i?h?uj (if; (34 91/ LI 1U

Date

 

 

 

DEPARTMENT LINE FACILITIES MAY NOT WRITE BELOW THIS 

 

 

The above plan of. is approved asef PlanofCorrectionimplementation I'l
(Date) 

Fully Implemented
Partially: Implemented Adequate Progt?es

The. above plan of correction Was approved by 03? Partially implemented - Inadequate Progress

(Initials)

 

DU ED

Not. implemented

 

 

 

 

 

 

November-2016 7 .. ..

 

Eek Cottage.?

3 Immediate, Fix

Long Term Solution

Person Monitoring: the
Implementation 

 

?-Cemplienee cod-e 

.0-

i Th'? faCiIify shall immediately

report SUSpeeited abuse of?a

child in accordance with

"to Child Protective

1 3490: (relating-to- proteetiv?e

services).

 
 

.. Child #1.:niac1e
allege, 10 ns o'fasexual abuse,
naming- Staff Member A as the:

alleged perpetrator; This
- incident was not reported.

through the Child welfare

Infmmati'dn "Solution ?gu?n?til'

?13-011 hearing of the. 
allegation-s, ?DireCtorSi;reviewgd .

the incident" with staff?that
Chi1d=#I Made the aII'e'gationSf
S?Ta-ff Were; infermed that
even though Child #19 stated he
was making allegations ate get-
Staff Member A firedi a report
needed? to be: made To
Child-line, A Chil-dli?e call
was p1 aced innuediiateily'.

It will beireiterated to: all Staff

during; Dee-ember. TCI

refreshei?s. when ?Ch?ildline calls

need to: be. made.

Director of Staff Development

I



 

5 Compliance 

 

If there. is an allegation of child 7
. any allegations ='of,ehi1d abuse

abuse} involving facility Staff

 

persons, the. facility shall

 

Immediately uponfreceiving

involving a staff person, staff

 

Team; Supervisors; OCCS,
Directors 

brawl



 

47 

 

)4 30021562?
rim: 

 

   

Plan of'Cjon-rriactios "for. November 2016; i 

 

. submit and: implement a plan
of supervision

0: Child #1 made
?all -, . ?ofgs'exual abuSe:

naming Staff Member-A as the
alleged petpettatoitj. The.

facility did-not submit and

implement a plan of
supervision.

Staff Member A is ano; longer
employed with: the: agency;
The allegations] have also been
unfounded.

members receiving the

allegation will eootaet
Chi?ldli??ne. Staff me-mb'erwill
then contact Team
and a plan
of Supervision will be
"implemented immediately until?
an investigation is completed.

 

Compliance 

 

 

The facility Shall complete a

mitten repoitable incident

report, on a form preselfi'bedjby
the. Department. and send, into
the appropriate. Depaiftmental
l??gional? office. and ?Ehi.a
contracting agency: Within '24


Upon heating of the:

allegations, Directors?reviewed.

the incident with staff that
Child-#1 made the allegations
to. 'Staff'Wei?e informed that

even thoughcmidi #1 stated he

was making allegati'oi?is to get
Staff Member'A ?led
(presumably fal?Se pretenses): a

 

StaffMembers' were informed

that eventhoiugh the
allegations. were presumably
false as stated. by Child a
written .1?epoitable incident

report still. need to: be ?led and
will need to "be ?led for any
. future allegati.0ns..

Team Supervisors, OCCS,
Directors

 

(wig?1'!

 

 

. .J?l?l
.90

W/?a?yf/ Vqu 

Pl? . 

01-8?) A



?o

7'

?ta/91424



Jim/I

I

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ifbr November 206. _f f_ 77 

 

 

 

 

writtan reportable incident,
report still needed to be
completed; This Was
completed 0. 

 

 

q; +2.1

 

 

 

 

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