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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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WELLSPAN PHILHAVEN
1101 EDGAR STREET
YORK, PA 17403

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Survey conducted on 04/27/2006

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on April 25 - 27, 2006 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on May 19, 2006.
 
Plan of Correction

704.11(f)(2)  LICENSURE Trng Hours Req-Coun

704.11. Staff development program. (f) Training requirements for counselors. (2) Each counselor shall complete at least 25 clock hours of training annually in areas such as: (i) Client recordkeeping. (ii) Confidentiality. (iii) Pharmacology. (iv) Treatment planning. (v) Counseling techniques. (vi) Drug and alcohol assessment. (vii) Codependency. (viii) Adult Children of Alcoholics (ACOA) issues. (ix) Disease of addiction. (x) Aftercare planning. (xi) Principles of Alcoholics Anonymous and Narcotics Anonymous. (xii) Ethics. (xiii) Substance abuse trends. (xiv) Interaction of addiction and mental illness. (xv) Cultural awareness. (xvi) Sexual harassment. (xvii) Developmental psychology. (xviii) Relapse prevention. (3) If a counselor has been designated as lead counselor supervising other counselors, the training shall include courses appropriate to the functions of this position and a Department approved core curriculum or comparable training in supervision.
Observations
Personnel record #4 did not have the required training hours for July 2004 to June 2005.
 
Plan of Correction
An approved Plan of Correction is on file with the Department of Health.

711.93(c)(2)  LICENSURE Consent to Release-Informed & Voluntary

711.93. Client records. (c) Confidentiality. (2) The project shall obtain an informed and voluntary consent from the client for the disclosure of information contained in the client record. The consent shall be in writing and include, but not be limited to:
Observations
The releases in client charts # 1, 2, 3, 4 and 6, did not include informed consents prior to the disclosure of information. The purpose section was not completed on releases to the SCA and to an attorney. One release to the SCA had all of the purposes checked.
 
Plan of Correction
An approved Plan of Correction is on file with the Department of Health.

 
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