Observations
Based on a review of the Staffing Requirements Facility Summary Report form (SRFSR), the facility failed to ensure that the residential treatment program maintained one FTE counselor for every eight clients.
The findings include:
The SRFSR form was reviewed on August 13, 2015. The facility provides 84 hours per week for the residential treatment program, and has a total of 20 active clients.
The residential treatment program computation is as follows:
84 hours per week divided by a 35 hour work week = 2.4 facility FTE for determining the ratio
20 active clients divided by 2.4 = 8.333 FTE
Their ratio comes out to 9:1
The findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Effective August 10, 2015 1FTE was added to the staff of Torre De La Raza. The Director of Residential Services will monitor staff/client ratio on a monthly basis to ensure compliance with regulations.
The Director of residential services will reduce admissions or obtain temporary personnel when resigniations occur to prevent problems in staffing ratio in the furture. |