This report is a result of an on-site licensure renewal inspection conducted on July 10, 2018 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, Division of Accountability and Program Improvement. Based on the findings of the on-site inspection, Alpha House, 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
|
Observations
The facility failed to document that the clinical supervisor completed at least 12 clock hours of training annually for the 2016-2017 training year in one of one personnel record reviewed July 10, 2018,
Employee # 2, a supervisor, had 7 hours of documented training.
These findings were reviewed with facility staff during the licensing inspection.
|
Plan of Correction
Employee #2 will demonstrate 12 clock hours of training annually. This will be completed between the calendar year of January 1, 2018 to December 31, 2018. Documentation will be located in employee #2's Training file and it will be the responsibility of the Executive Director to account for its completion.
To ensure this deficiency does not recur, all staff will be given their specific number of training hours required on a training form. The staff will be required to submit the completed training hours in October for monitoring by the Residential Director and/or Executive Director. Any unaccounted training hours will be given 60 days to come into training compliance. This form, along with the certificates of completion, and evaluation of the training will become a permanent part of the staff members "Training Manual" |