INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on January 15, 2025 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Centre Counseling Associates 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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704.11(d)(2) LICENSURE Annual Training Requirements
704.11. Staff development program.
(d) Training requirements for project directors and facility directors.
(2) A project director and facility director shall complete at least 12 clock hours of training annually in areas such as:
(i) Fiscal policy.
(ii) Administration.
(iii) Program planning.
(iv) Quality assurance.
(v) Grantsmanship.
(vi) Program licensure.
(vii) Personnel management.
(viii) Confidentiality.
(ix) Ethics.
(x) Substance abuse trends.
(xi) Developmental psychology.
(xii) Interaction of addiction and mental illness.
(xiii) Cultural awareness.
(xiv) Sexual harassment.
(xv) Relapse prevention.
(xvi) Disease of addiction.
(xvii) Principles of Alcoholics Anonymous and Narcotics Anonymous.
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Observations
Based on a review of the Staffing Requirements Facility Summary Report (SRFSR) and personnel records, the facility failed to document the completion of 12 clock hours of annual training for employee #1. The training year reviewed was from January - December 2024.
Employee #1 was hired as the project director on February 3, 2006 and was still in the position as of the date of the inspection. The employee record showed zero training hours for the year reviewed.
The finding was reviewed with facility staff during the licensing inspection.
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Plan of Correction
The Project Director acknowledges that he miscalculated the dates for the training. The ones he did document fell outside of requested parameters. A notation will be placed within the training manual to emphasize the appropriate date range for proper compliance. This will be completed within 60 days. |
705.26 (2) LICENSURE Heating and cooling.
705.26. Heating and cooling.
The nonresidential facility:
(2) May not permit in the facility heaters that are not permanently mounted or installed.
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Observations
Based on an onsite inspection, the facility failed to have heaters that are permanently mounted or installed, as a space heater was observed in the waiting area of the facility.
The finding was reviewed with facility staff during the licensing inspection.
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Plan of Correction
The Project Director acknowledges that there were 2 portable space heaters that were being used for extra heat in the office during the cold spell that was occurring. The heaters will be removed immediately and there will be no use of any nonpermanent heating sources. |