INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 3-4, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, RHJ Medical Center, Inc. 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 and a plan of correction is due on March 28, 2010.
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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 the employee personnel record, the facility failed to document the required period of close supervision for one counselor assistant.
The findings include:
Eight personnel records were reviewed on March 3, 2010. Two of the eight personnel records reviewed were for the position of counselor assistant. One counselor assistant had the appropriate documentation.
The counselor assistant represented by personnel record # 3, included documentation of only three months of supervision. This employee is required to have three months of direct observation and nine months of close observation. The lack of documentation was confirmed by the director during an interview on March 3, 2010.
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Plan of Correction
The counselor assistant had previously worked in a drug and alcohol setting where apparantly the superision was conducted. The project director is attempting to obtain verification of the required supervision. If the documentation is unattainable the counselor assistant will receive a total of three months of direct observation and a total of nine months of close supervision from this facility under the direction of the project director which will be documented in the counselor assistants chart. |