D&A Facility Surveys

Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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ABSTINENT LIVING AT THE TURNING POINT AT WASHINGTON, INC.
199 NORTH MAIN STREET
WASHINGTON, PA 15301

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Survey conducted on 06/07/2021

INITIAL COMMENTS
This report is a result of an on-site licensure renewal inspection conducted on June 7, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Abstinent Living at the Turning Point at Washington, Inc 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:	Plan of Correction
704.9(c) LICENSURE Supervised Period 704.9. Supervision of counselor assistant. (c) Supervised period. (1) A counselor assistant with a Master's Degree as set forth in 704.8 (a)(1) (relating to qualifications for the position of counselor assistant) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 3 months of employment. (2) A counselor assistant with a Bachelor's Degree as set forth in 704.8 (a)(2) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 6 months of employment. (3) A registered nurse as set forth in 704.8 (a)(3) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 6 months of employment. (4) A counselor assistant with an Associate Degree as set forth in 704.8 (a)(4) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 9 months of employment. (5) A counselor assistant with a high school diploma or GED equivalent as set forth in 704.8 (a)(5) may counsel clients only under the direct observation of a trained counselor or clinical supervisor for the first 3 months of employment. For the next 9 months, the counselor assistant may counsel clients only under the close supervision of a lead counselor or a clinical supervisor.
Observations Based on the review of personnel records, the facility failed to document the direct supervision of a counselor assistant in one of one personnel record. Employee # 4 was hired as a high school level counselor assistant on March 23, 2021. Direct supervision is required for the first 3 months of employment. The counselor assistant conducted individual counseling sessions on April 7, 10, 13, 24 and May 1, 8, 15 and 29, 2021. There was no documentation that there was direct supervision of the sessions. These findings were reviewed with facility staff during the licensing process.	Plan of Correction The Operations Manager confirms that Employee #4 did not have proper documentation of direct supervision on the dates referenced. Both the Clinical Director and Employee #4 have been made aware of this issue with direct supervision. Effective immediately, Employee # 4 changed her scheduled client sessions so that the Clinical Director can attend. The Clinical Director is attending all sessions with Employee # 4, as required. The education level will be reviewed thoroughly with any new hire by both the Clinical Director and the Operations Manager. The Clinical Director will directly supervise all sessions as required. The Operations Manager will ensure that the supervised sessions are documented, as appropriate, by both the Clinical Director and the Employee. The Operations Manager and Clinical Director are responsible for ensuring this corrective action is implemented and the deficiency does not recur. This will be overseen by the Project Director.