The Summit Academy v. DHS

CourtCommonwealth Court of Pennsylvania
DecidedDecember 7, 2015
Docket257 C.D. 2015
StatusUnpublished

This text of The Summit Academy v. DHS (The Summit Academy v. DHS) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Summit Academy v. DHS, (Pa. Ct. App. 2015).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

The Summit Academy, : Petitioner : : No. 257 C.D. 2015 v. : : Submitted: September 4, 2015 Department of Human Services, : Respondent :

BEFORE: HONORABLE BERNARD L. McGINLEY, Judge HONORABLE PATRICIA A. McCULLOUGH, Judge HONORABLE JAMES GARDNER COLINS, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE McCULLOUGH FILED: December 7, 2015

The Summit Academy (Facility), a private residential treatment center for dependent and delinquent youth, petitions for review of the February 2, 2015 final order of the Department of Human Services (Department), Bureau of Hearings and Appeals (Bureau), adopting the recommendation of an Administrative Law Judge (ALJ) that the Facility’s appeal from a license inspection summary (LIS) should be dismissed for lack of jurisdiction. On appeal, the Facility contends that the Department’s regulations and procedures governing the LIS violate due process.

Background The facts and procedural history of this case are as follows. On October 17, 2014, a representative of the Department conducted an on-site inspection of the Facility. At the conclusion of the inspection, the representative completed an LIS listing two violations. The first violation concerned diagnosed injuries that a resident sustained while being manually restrained by Facility employees. The second violation involved the Facility’s inaccurate records as to the time-frame in which the resident was restrained. (Reproduced Record (R.R.) at 3a-6a.) More specifically, the LIS named the applicable regulations and described the violations as follows:

1. Regulation 55 Pa. Code §3800

3800.32(b) – A child may not be abused, mistreated, threatened, harassed or subject to corporal punishment.

2a. Description of Violation

Staff Member A manually restrained resident #1 on 10/8/14 around 8:30 p.m. on the facility’s third floor catwalk resulting in the resident’s diagnoses of a closed rib fracture, a left wrist injury, and a facial contusion.

* * *

3800.213 – A record of each use of a restrictive procedure, including the emergency use of a restrictive procedure, shall be kept and shall include the following:

(2) The date and time the procedure was used . . .

(6) The duration of the procedure . . .

Resident #1 was manually restrained on 10/8/14 in the cafeteria and minutes later was manually restrained on the third floor catwalk. The restrictive procedure record for the manual restraint in the cafeteria indicated that the restraint began at 8:35 p.m. and ended at 8:40 p.m. and the restrictive procedure record for the manual restraint on the

2 third floor catwalk indicated that the restraint began at 8:30 p.m. and ended at 8:35 p.m. The restrictive procedure records do not accurately indicate the time of the manual restraints. (R.R. at 4a-5a.) On November 26, 2014, the Department sent the Facility a letter with the LIS enclosed. In pertinent part, the letter stated:

The Department requires that you submit an acceptable plan to correct noncompliant items pursuant to 55 Pa. Code §20.52 (relating to plan of correction). You should begin to implement your plan immediately upon submission. The Department will notify you if the plan you submit is not acceptable and must be changed.

In order to submit an acceptable plan of correction, you must complete Section 3 of the attached [LIS], by stating the actions you will take to correct each of the violations. Your plan of correction must immediately correct the specific issue cited, as well as include an ongoing, step-by- step plan to assure continued compliance with the regulation over a substantial period of time. Your plan of correction for each violation should include: what specific change will be made, who will make the change, when will the change be made, how will the change be made, what system have you implemented to make sure that the same violation will not occur again and what training will be provided to your staff. Send any supporting documentation to verify compliance of any corrected violation. If you believe any violation is incorrect, you may say that in your comments under Section 3 but you still must include a plan to reach and maintain compliance. Sign and date the bottom of each page of the [LIS].

Return the attached [LIS] within 10 calendar days of the mailing date of this letter. Your license to operate the above facility may be revoked if the [LIS] is not received within the required time period. . . .

3 I am available to explain any statements on the attached form and to assist you in the development of an acceptable plan of correction. Thank you for your cooperation. (R.R. at 1a-2a) (emphasis supplied). On December 4, 2014, the Facility filed an appeal from the November 26, 2014 letter, asserting that the violations listed in the LIS were “unsubstantiated” and could be used “in future enforcement actions.” (R.R. at 11a.) Specifically, the Facility contended that the Department’s representative relied upon erroneous information, and it asserted that a proper investigation would have revealed that the resident hurt himself when he slipped and fell on a wet floor and that the length of time the resident was restrained was recorded accurately. To support its contentions, the Facility attached the affidavits of two of its employees. (R.R. at 9a-23a.) The Facility further asserted that the Department’s failure to provide it “an avenue to appeal these improper and unsubstantiated violations constitutes a violation of [the Facility’s] due process rights.” (R.R. at 11a.) On December 12, 2014, the Department acknowledged the Facility’s request for appeal and forwarded it to the Bureau. The ALJ issued a rule to show cause as to why the appeal should not be dismissed for want of jurisdiction, and both the Facility and the Department filed responses. (R.R. at 24a-25a.) In its response, the Facility contended that the November 26, 2014 letter was an adjudication because the LIS could be used to take adverse action against the Facility’s certificate of compliance; the Facility would have no recourse to challenge the findings and violations in the LIS; and the failure to permit an appeal and hearing violates the Facility’s right to procedural due process. In its response, the Department argued that the LIS did not impose any sanction against the Facility or immediately jeopardize its certificate of compliance; the Facility would have the right to appeal in the event the Department would take action in the future based upon the

4 LIS; and case law establishes that notice of a regulatory violation (absent a sanction) does not constitute an adjudication. (R.R. at 26a-35a.) Upon consideration of the parties’ submissions, the ALJ recommended that the Facility’s appeal be dismissed for failing to state a claim for which the Bureau can grant relief. (R.R. at 37a.) On February 2, 2015, the Bureau issued an adjudication and order upholding the ALJ. In doing so, the Bureau made the following findings of fact:

1. [The Facility] is a residential juvenile facility.

2. On November 26, 2014, the Department mailed a letter to [the Facility] which included a [LIS] that cited violations of regulations relating to child residential and day treatment facilities.

3. The November 26, 2014 letter required [the Facility] to submit a plan of correction to address the cited violations within ten (10) calendar days of the mailing date of the letter.

4. The November 26, 2014 letter stated that failure to submit a timely plan of correction may result in the revocation of [the Facility’s] license to operate.

5.

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The Summit Academy v. DHS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-summit-academy-v-dhs-pacommwct-2015.