Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
Part 1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
Part 2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 1, an abbreviated off-site inspection, conducted on June 15, 2020, by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.
Based on the findings of Part 1, Open Arms Recovery Center abbreviated off-site inspection, the facility was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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Observations
Based on a review of seven clinical staff, staff #2 had a FTE counselor caseload of 40:1 active clients which exceeds the 35:1 active caseload for counseling in outpatient programs.
These findings were reviewed with project staff during the licensing process.
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Plan of Correction
Clinical Supervisor will increase caseload hours and decrease administrative hours to allot for her 9 clients that she is currently supervising a counselor assistant to take over. Facility Director will ensure that administrative hours are decreased to allot for clinical hours on a weekly basis and also to ensure that counselors do not have more than the 35:1 ratio. |