Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection. The inspection will be divided into two parts. 1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist. 2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.This report is a result of Part 1, an abbreviated off-site inspection, conducted on July 23, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.Based on the findings of Part 1, an abbreviated off-site inspection, Alcohol and Drug Abuse Service, 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:
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Plan of Correction
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Observations
The facility failed to ensure that counselors received a minimum of at least 6 hours of HIV/AIDS and 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training within the first year of employment in one of one record. Employee # 5 was hired as a counselor on April 29, 2019. The HIV/AIDS and STD/TB training was to be completed by April 29, 2020. There was no documentation that the training had been completed. These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The human resource officer during orientation provides all new staff with a list of required trainings within the 1st year. 6 hours of HIV/AIDS and 4 hours of TB and other sexually transmitted diseases and other related topics is on this list.
The supervisor of the staff person will be sure this training is scheduled through DDAP within the 1st year. If there are no DDAP trainings available the employees immediate supervisor will provide the training utilizing the DDAP training curriculum. The manager of the program advised the supervisor on 8/3/20 of the corrective action plan and their responsibility. The program manager will ensure this occurs by quarterly review of trainings attended to ensure all required trainings have occurred.
Employee # 5 completed the 6 hour training on 8/3/20. And will complete the 4 hour training on 8/14/20. All employees are required to do a training summary memo for required trainings. These memos will be sent to HR within 1 week of the trainings. On 8/20/20 the program manager will review the memo to ensure Staff#5 attended the required trainings. The date the corrective plan will be completed is 8/14/20. |