Observations
Based on a review of personnel records and the Staffing Requirements Facility Summary Report, the facility failed to ensure that the FTE counselor caseload in outpatient programs did not exceed 35 active clients in one of four applicable personnel records reviewed.
The counselor Full Time Equivalent (FTE) is determined by dividing the total number of hours the counselor devotes to their clients by the facility's workweek. Then, in order to obtain the counselor's ratio, the total number of clients on the counselor's outpatient caseload is divided by the FTE.
Employee #6 was hired as a counselor on June 24, 2019 and was still employed at the time of the inspection. The employee's ratio calculation was as follows: 40/40 = 1(FTE); 39/1 = 39, which equals to a client/counselor FTE ratio of 39:1.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
Executive Director has assessed clinician's current caseload and has redistributed clients amongst other staff and programs in order to ensure all clinicians are within the permitted ratio.
Clinical Supervisor will be responsible for reviewing all counselor caseloads on a monthly basis to ensure all counselor are within ratio (1:35). |