Observations
Based on a review of the Staffing Requirements Facility Summary Report form completed by the facility on November 24, 2014 and an interview with the facility director. The facility failed to ensure that staff caseloads remained at or under 35:1.The findings include: The Staffing Requirements Facility Summary Report form completed by the facility was reviewed on December 9, 2014. The form listed five counselors, and a clinical supervisor, as clinical staff . The facility's standard work week, as reported by the facility on the Staffing Requirements Facility Summary Report form was 40 hours per week. However, the facility caseloads are calculated using a standard 35 hour work week.Based on the total number of hours per week that employee # 4 devoted to clients and the standard work week of 35 hours, employee # 4 exceeded the allowable maximum 35:1 caseload.The actual client caseload is determined by dividing the Full Time Equivalent (FTE) into the actual number of clients. The FTE is determined by dividing the number of hours devoted to the clients treatment by the facility's standard work week.The number of hours per week devoted by Employee # 4 to client treatment, as reported by the facility on the Staffing Requirements Facility Summary Report, was 11 hours per week. The facility reported on the Staffing Requirements Facility Summary Report form that Employee #4 had 19 active clients on November 24, 2014.Employee # 4 11/35 = .314 FTE 19 clients/.314 FTE = 61:1 caseload)The findings were discussed with the facility director.
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Plan of Correction
Documentation on caseload computation form was incorrect. Hours mistakenly transposed for one of our counselors Numbers were llisted as 11 clicial hours for Drug and alcohol clients and 24 for non D/A. The correct numbers are: 24 hours for Drug and Alcohol clients, and 11 hours for non D/A clients. With this correction the ratio falls within the licensing requirement. We will continue to monitor caseloads to assure we do not exceed 35:1. |