INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 21, 2007 to May 22, 2007 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on June 21, 2007.
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Plan of Correction
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709.93(a)(11) LICENSURE Client records
709.93. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following:
(11) Follow-up information.
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Observations
The facility failed to follow its policy on follow-up contacts. In client record number 2, the follow-up was due in March 2007 and was completed in April 2007.
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Plan of Correction
The process for the follow-up contacts was revised to ensure that all of the correct dates were entered and tracked. This will ensure that follow-up contacts will be completed on time. The Outpatient Supervisor will monitor the effectiveness and accuracy of this process. |