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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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CHESTER COUNTY INTERMEDIATE UNIT - CHANGES
540 EAST UNION STREET, SUITE D
WEST CHESTER, PA 19380

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Survey conducted on 10/22/2014

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on October 22, 2014 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Chester County Intermediate Unit - Changes 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

704.11(c)(2)  LICENSURE CPR CERTIFICATION

704.11. Staff development program. (c) General training requirements. (2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
Observations
Based on a review of administrative documentation, it was determined that the facility failed to provide a sufficient number of staff persons, so that at least one person trained in CPR certification and first aid is onsite during the project's hours of operation.



The findings include:



Four personnel records were reviewed on October 22, 2014. Employee #4 was the only employee that was trained in CPR certification and first aid.



The facility is open Monday from 7:30 AM to 7:00 PM; Tuesday and Wednesday from 7:30 AM to 3:30 PM; Thursday from 7:30 AM to 9:00 PM; and Friday from 7:30 AM to 3:30 PM. One employee is not sufficient to provide CPR coverage for these hours of operation.



The facility failed to ensure that a sufficient number of staff persons were trained in CPR.



These findings were reviewed with facility staff during the licensing process.
 
Plan of Correction
All staff, including Clinical Supervisor, Primary Counselor, Teacher and Instructional Assitant will be CPR/First Aid Certified at all times. In the event of staff turnover, the new hire will be certified within 90 days of employment. This will ensure the 75% of staff are certified at all times. Both the Facilities director and Clinical Supervisor are responsible to ensure implementation.



The Clinical Supervisor and Teacher recieved their certification on Dec 4, 2014.



Prior to the recent certifications, The certified staff member was scheduled to work during program hours. In the event she was unexpectedly absent the plan was

to utilize the IU Sub finder system to for a certified staff memeber. In addition the IU has a program 2 stroe fronts away that has 10 certified staff that would respond immediately.

 
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