Observations
Based on a review of the Staffing Requirements Facility Summary Report, the facility failed to keep the client/staff ratio at or below the regulation limit of 8/1. The counselor Full Time Equivalent (FTE) is determined by dividing the total number of hours devoted to active clients by the facility's work week. Then dividing the total number of active clients by the FTE. This facility has a total of 160 hours devoted to active clients with a work week of 40 hours. 160/40 = 4 (FTE). There are a total of 46 clients. 46/4 = 11.5 which equals a ratio of 11/1.
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Plan of Correction
In July, three counselors resigned and all three put in a 2 week notice. None of the three counselors completed their 2 week notice and left the job early. By the beginning of August three new counselors were hired. One started on 8/8/2022, one on 8/15/2022 and the third counselor will start on 8/29/2022. In the future, if our client to counselor ratio is out of compliance the facility will alert the Licensure department. |