INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on November 2, 2023 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Gentle Force Counseling Services LLC 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(f)(2) LICENSURE Trng Hours Req-Coun
704.11. Staff development program.
(f) Training requirements for counselors.
(2) Each counselor shall complete at least 25 clock hours of training annually in areas such as:
(i) Client recordkeeping.
(ii) Confidentiality.
(iii) Pharmacology.
(iv) Treatment planning.
(v) Counseling techniques.
(vi) Drug and alcohol assessment.
(vii) Codependency.
(viii) Adult Children of Alcoholics (ACOA) issues.
(ix) Disease of addiction.
(x) Aftercare planning.
(xi) Principles of Alcoholics Anonymous and Narcotics Anonymous.
(xii) Ethics.
(xiii) Substance abuse trends.
(xiv) Interaction of addiction and mental illness.
(xv) Cultural awareness.
(xvi) Sexual harassment.
(xvii) Developmental psychology.
(xviii) Relapse prevention.
(3) If a counselor has been designated as lead counselor supervising other counselors, the training shall include courses appropriate to the functions of this position and a Department approved core curriculum or comparable training in supervision.
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Observations
Based on a review of personnel records, the facility failed to ensure that the project director completed at least 12 clock hours of annual training during the facility's January 1, 2022, through December 31, 2022 training year.Employee #1 was hired as the Project Director on February 25, 2020. The personnel record documented 0 hours of training during the training year reviewed. This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The facility director will ensure the scanning and obtaining of electronic copies of proof of training to remain on-site for the year being reviewed and inspected by updating the individual training plan for each staff member.
The updated policy will include quarterly internal training plan evaluations by the facility director.
An annual internal training hour verification and inspection policy will be created and implemented by 1/16/2024. |
709.94(b) LICENSURE Project management services
709.94. Project management services.
(b) The hours of project operation shall be displayed conspicuously to the general public.
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Observations
Based on a physical plant inspection, the facility failed to conspicuously display, to the general public, the project's hours of operation. At the time of the inspection, there were signs posted inside the building lobby and by the elevators that displayed the facility name and phone number; however, the hours of operation were not displayed. This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The Facility Director will order new company signs and replace all old signs to include and ensure that the agency signs are always displaying the agency's hours of operation for the general public. New signs will be ordered by 12/22/2023 and all old signs will be removed and replaced by 1/10/2024. |