INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 20, 2022 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Open Arms Recovery Center 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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704.9(c) LICENSURE Supervised Period
704.9. Supervision of counselor assistant.
(c) Supervised period.
(1) A counselor assistant with a Master's Degree as set forth in 704.8 (a)(1) (relating to qualifications for the position of counselor assistant) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 3 months of employment.
(2) A counselor assistant with a Bachelor's Degree as set forth in 704.8 (a)(2) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 6 months of employment.
(3) A registered nurse as set forth in 704.8 (a)(3) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 6 months of employment.
(4) A counselor assistant with an Associate Degree as set forth in 704.8 (a)(4) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 9 months of employment.
(5) A counselor assistant with a high school diploma or GED equivalent as set forth in 704.8 (a)(5) may counsel clients only under the direct observation of a trained counselor or clinical supervisor for the first 3 months of employment. For the next 9 months, the counselor assistant may counsel clients only under the close supervision of a lead counselor or a clinical supervisor.
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Observations
Based on a review of six personnel records, the facility failed to ensure that one counselor assistant was counseling clients under the supervision of a trained counselor or clinical supervisor based on their education.
Employee #6 was hired as a counselor assistant on February 4, 2021. Employee #6 has an
associate degree and may only counsel clients under the close supervision of a trained counselor or clinical supervisor for the first nine months from obtaining associates degree in May 2021.
Employee #6 did not receive close supervision from August 3, 2021 until the time of the inspection.
The finding was reviewed with facility staff during the licensing process.
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Plan of Correction
Clinical Supervisor will maintain weekly supervision along with an additional weekly one hour direct observation for the next 9 months beginning immediately. Clinical Supervisor will document each supervision and direct observation and place in Employee #6's supervision file.
Facility Director and Director of Operations will monitor supervision logs to ensure compliance. |