Observations
Based on a review of employee #1's job description and the project's organizational chart, the project failed to ensure that the staff person appointed to the position of project director would be responsible for the overall management of the project and staff.
The findings include:
The published definition for project director as found in 28 Pa. Code, 701.1 is as follows:
Project director - The administrator of the treatment project who is responsible
for the overall management of the project and staff and who meets the education
and experience requirements in Chapter 704.
Employee # 1 was hired on April 20, 1994. On June 4, 2007, employee # 1 was promoted to the position of the Corporate Clinical Director. The job description includes a listed duty to serve as project director. On August 31, 2011 employee #1's job description was reviewed along with the project's organizational chart
The job description for the Corporate Clinical Director does not specify that employee #1 is responsible for the overall management of the project and staff. Furthermore, the Organizational Chart revised: 8/30/2011 does not indicate that employee #1 reports directly to the governing body.
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Plan of Correction
Project director will review DOH licensing standard 704.5(a)with the governing body and have his job description revised on 9/6/11 to more clearly state that he is responsible for the overall management of the project and staff.
Project director will have the project's organizational chart revised by the governing body on 9/6/11 to more cleary show that he reports directly to the governing body of Firetree, Ltd.
Project director will submit documentation verifying the completion of job responsibilities as outlined in DOH licensing alert 05-05 Chapter 704 pertaining to this position by October 31, 2011. |