Observations
Based on the review of the "Staffing Requirements Facility Summary Reports" completed by each facility in the Project, the Project failed to ensure that there was one full-time clinical supervisor for every eight full-time equivalent (FTE) counselors in the Project.
The findings include:
From January 18, 2011 through January 21, 2011, the "Staffing Requirements Facility Summary Reports" for each of the two facilities that make up the Project were reviewed. The "Staffing Requirements Facility Summary Reports" completed by the facility on 1/18/2011 and signed on 1/21/2011, listed a combined total of 13 counselors who are providing drug and alcohol counseling. The total number of drug and alcohol counseling hours per week provided by the counselors equates to 13 FTE counselors within the project, and therefore the project is required to have at least one full-time clinical supervisor and one part-time clinical supervisor or lead counselor. The "Staffing Requirements Facility Summary Reports" did not identify a full-time clinical supervisor at either of the Project's two facilities.
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Plan of Correction
On April 20, 2011 the Project Director appointed a Clinical Supervisor for Methadone Clinic staff. In addition, a Clinical Supervisor will be recruited for Walk-In Clinic staff by June 24, 2011. The Project Director has also appointed a Facility Director to oversee both JFK outpatient drug/alcohol facilities. The Project Director is responsible for ensuring compliance with this standard. |