INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 19, 2009 through October 20, 2009 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Philadelphia Health Management Corporation/Chances 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 November 8, 2009.
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Plan of Correction
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704.6(c) LICENSURE Core Curriculum - Supervisor Training
704.6. Qualifications for the position of clinical supervisor.
(c) Clinical supervisors and lead counselors who have not functioned for 2 years as supervisors in the provision of clinical services shall complete a core curriculum in clinical supervision. Training not provided by the Department shall receive prior approval from the Department.
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Observations
Based on the review of employee records and a interview with the Facility Director, the facility failed to ensure that the clinical supervisor completed the core curriculum training in clinical supervision.
The findings include:
Nine employee records was viewed on October 19, 2009. Clinical Supervision training was required in one employee record reviewed. The facility director was also interviewed on October 19, 2009 and she informed the licensing specialist that employee #3 had been scheduled for the training but it was canceled. The facility director reported that Philadelphia Health Management Corporation (PHMC) has communicated with Bureau of Drug and Alcohol Programming (BDAP) to request approval to conduct the clinical supervision training through PHMC. Employee #3 was promoted to clinical supervisor on 5/5/08 and as of the date of inspection had not received the clinical supervision training as required.
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Plan of Correction
The training department at Public Health Management Corporation (PHMC)is in the process of finalizing arrangements to offer the approved 5-day state mandated supervisory training in Philadelphia. The training will be held at 260 South Broad Street in March 2010, and the Clinical Supervisor at CHANCES has been pre-registered to take this class. The PHMC training department will offer this training annually thereafter in order to insure that any new supervisor obtain the training in a timely manner. |