Initial Comments:
This report is the result of a special monitoring survey conducted on August 8, 2011, at Planned Parenthood of Western Pennsylvania. It was determined that the facility was in compliance with the requirements of the Pennsylvania Department of Health Regulations 28 Pa Code, Chapter 29, Subchapter D, Ambulatory Gynecological Surgery in Hospitals and Clinics.
Plan of Correction:
No POC Required STANDARD
Recommendation
Name - Component - 00
Observations:
Based on review of credential files on August 8, 2011, it was determined the facility failed to have copies of appropriate DEA (Drug Enforcement Administration) licenses in the credential files for nine of ten physicians.
Findings:
1. Review of credential files for ten physicians that perform procedures at the facility were reviewed. Nine of the 10 files failed to reveal DEA licenses with the address of the facility.
2. Interview with EMP2 on August 8, 2011 at 2:50 PM revealed all ten of the physicians administer, store, and dispense codeine at the facility
Plan of Correction:DEA licenses are on file for all ten of the PPWP physicians as was confirmed at each of the Pennsylvania Department of Health's surveys at PPWP in the past year.
PPWP is currently in the process of obtaining DEA licenses for each physician at the Planned Parenthood of Western Pennsylvania address.
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