INITIAL COMMENTS
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This report is the result of an on-site licensure renewal inspection conducted on July 26, 2007 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on August 20, 2007.
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Plan of Correction
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711.93(a)(7) LICENSURE Follow-up Information
711.93. Client records.
(a) Record requirements. There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. In addition to the requirements in 115.32 (relating to contents), the client record shall include the following:
(7) Follow-up information.
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Observations
The facility failed to document follow-up information, within the time frame identified in their policy and procedure, in two of three client records reviewed, #7 and 8.
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Plan of Correction
1. Revised follow-up/aftercare policy to state that follow-up is conducted by the end of the month following discharge of the patient in order to ensure that the policy is consistent with the current practice.
Responsible Person: Program Director
Date: 8/20/2007
Monitor: Quarterly
2. Include in September 2007 Staff Meeting Minutes in order to ensure adequate communication to all staff.
Responsible Person: Program Director
Date: 9/12/2007 |