Observations
Based on the physical plant inspection, the facility failed to limit smoking to designated smoking areas.
The findings include:
A physical plant inspection was conducted on August 26, 2013. During the inspection of the 6 th floor men's bathroom, there was a very strong odor of cigarette smoke. Cigarette ashes were found in the shower stall.
The clinical supervisor was present during the inspection and confirmed the findings.
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Plan of Correction
Renewal Treatment Inc. shall not allow smoking in unauthorized areas, smoking within the facility and the possession of cigarettes are not authorized. Renewal Inc. staff has received instruction and training in regards to this deficiency/requirement. Renewal Treatment Inc. shall increase the number of patrols in the bathroom areas as well as all areas of the facility. Security Patrols of the inpatient unit shall occur at least hourly including checks of all areas of the unit. Clients that are caught smoking or in possession of cigarettes shall be held accountable through the disciplinary process. Staff shall increase their efforts to find and confiscate contraband cigarettes through facility and locker searches. Client personal belongings are searched for contraband during intake processing and throughout their stay at the facility. Items dropped off by family members are also checked for contraband cigarettes. Smoking rules are reviewed during intake procedures and are detailed in the program handbook. Smoking regulations shall be posted throughout the facility. The Facility Director and Clinical Supervisor shall require Treatment Aids and other staff to increase their efforts to address unauthorized smoking and unauthorized possession of contraband cigarettes. The Facility Director, Clinical Supervisor and Treatment Aid Shift Supervisor shall hold staff accountable to this POC. This POC shall be reviewed during staff supervision sessions and Treatment Aid meetings. The Clinical Supervisor and Treatment Aid Shift Supervisor shall provide direct oversight of contraband control and efforts to stop unauthorized smoking within the facility. This POC is in place. |