INITIAL COMMENTS
|
This report is a result of an on-site licensure renewal inspection conducted on October 29, 2019 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Based on the findings of the on-site inspection, Gateway Rehabilitation Center Squirrel Hill 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
The facility failed to document close supervision in two of two counselor assistant personnel records reviewed.
Staff person # 4 has been a Bachelor's level counselor assistant/intern since September 13, 2019. No weekly supervision was documented in personnel record # 4.
Staff person # 5 has been a Bachelor's level counselor assistant/intern since May 28, 2019. No weekly supervision was documented in personnel record # 5.
The findings were reviewed with facility staff during the licensing process
|
Plan of Correction
Weekly supervision will be provided by the site manager and documented on a form developing specifically for tracking intern supervision. These supervision forms will be maintained on site, Managers of each site will monitor completion and maintenance of supervision forms. This deficiency has already been corrected, |