Observations
Based on a review of employee personnel records the facility failed to instruct staff in the use of the fire extinguisher upon staff employment.
The findings include:
Based on the review of employee personnel records on April 20, 2010 the facility failed to ensure that fire extinguisher training was conducted upon hire for employee # 2.
Employee # 2 was hired on 2/13/2010. Training for the use of a fire extinguisher was due to be complete by 2/20/2010. The fire drill training had not conducted until 3/2/2010.
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Plan of Correction
Effective 4/21/2010 all new staff will receive fire extinguisher training on their first day of employment. Administrative supervisor will conduct the training and supervisor and employee will sign training form. Facility director will inspect and initial form for verification that day. |
Observations
Based on a review of client records, the facility failed to document a complete psychosocial evaluation in three of three client records.
The findings include:
Three client records were reviewed on April 20, 2010. Psychosocial evaluations were required in three client records. The facility failed to have complete psychosocial evaluations in client records # 1,2, and 3.
Client record # 1 psychosocial evaluation failed to include the client's problems and needs, assets/strengths, support systems, coping mechanisms, and negative factors.
Client record # 2 psychosocial evaluation failed to include the client's assets/strengths, support systems, and coping mechanisms, and the client's attitude towards treatment.
Client record # 3 psychosocial evaluation failed to include the client's problems and needs, assets/strengths, support systems, coping mechanisms, negative factors, and the client's attitude towards treatment
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Plan of Correction
On April 23, 2010 program director instructed counselor during supervision on required elements of psychosocial evaluation including client's problems and needs, assets/strengths, support systems, coping mechanisms, negative factors, and client's attitude towards treatment. Program director will review psychosocial evaluations during weekly case reviews and supervision sessions. |