D&A Facility Surveys

Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA, INC.
201 EAST MAIN STREET
MIDDLEBURG, PA 17842

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Survey conducted on 05/22/2013

INITIAL COMMENTS
This report is a result of an on-site licensure renewal inspection conducted on May 22, 2013 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Gaudenzia, 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:	Plan of Correction
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.
Observations Based on a review of the personnel record and inquires to human resources staff and the facility director, the facility failed to document the required period of close supervision for a contracted counselor assistant. The findings include: Two personnel records were reviewed for the position of counselor assistant on May 7, 2013. One of the two personnel records reviewed was for a contracted counselor assistant. The counselor assistant represented in record # 4 was contracted on March 20, 2013. The staff member has a qualifying Bachelor ' s degree and therefore is required to have six months of documented close supervision. As of the date of inspection there was no documented verification that contracted counselor assistant represented in record # 4 had the required supervision for the first two months in the position. The lack of documentation was confirmed by the Facility Director on May 21, 2013.	Plan of Correction Effective May 22, 2013, the Counselor Assistant represented in record # 4 will have weekly documented supervisory sessions conducted by an experienced Counselor III from the Middleburg office. Weekly supervisory sessions will be reviewed monthly by facility Director to ensure 6 months of direct supervision. Going forward, all Counselor Assistants whether contractual or salaried will be required to have the standard 6 months of documentation.