INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on March 27, 2008 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Rehab Management Inc./Rehab After Work 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 and a plan of correction is due on April 18, 2008.
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Plan of Correction
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704.11(c)(2) LICENSURE CPR CERTIFICATION
704.11. Staff development program.
(c) General training requirements.
(2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
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Observations
Based on a review of staff development records and an interview with the facility director on March 27, 2008, CPR and first aid has not been provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation. The project is open for twelve hours a day and five days a week for a total of sixty hours a weeks of operation. Two staff are trained in CPR and no staff are trained in First aid.
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Plan of Correction
The Site Director of Center City will ensure that at least three staff members attend the 3/28/2008 CPR/First Aid training held by Cardiac Care Associates at the Center City location. Proof of this training and proof of staff attendance will be placed in the Center City Staff Development log by the Site Director. |
704.11(f)(2) LICENSURE Trng Hours Req-Coun
704.11. Staff development program.
(f) Training requirements for counselors.
(2) Each counselor shall complete at least 25 clock hours of training annually in areas such as:
(i) Client recordkeeping.
(ii) Confidentiality.
(iii) Pharmacology.
(iv) Treatment planning.
(v) Counseling techniques.
(vi) Drug and alcohol assessment.
(vii) Codependency.
(viii) Adult Children of Alcoholics (ACOA) issues.
(ix) Disease of addiction.
(x) Aftercare planning.
(xi) Principles of Alcoholics Anonymous and Narcotics Anonymous.
(xii) Ethics.
(xiii) Substance abuse trends.
(xiv) Interaction of addiction and mental illness.
(xv) Cultural awareness.
(xvi) Sexual harassment.
(xvii) Developmental psychology.
(xviii) Relapse prevention.
(3) If a counselor has been designated as lead counselor supervising other counselors, the training shall include courses appropriate to the functions of this position and a Department approved core curriculum or comparable training in supervision.
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Observations
Based on a review of three staff development records for the training year 2007, a review of the staffing requirements facility summary report of March 27, 2008, and an interview with the facility director on March 27, 2007 one of three counselors did not meet the annual twenty five hours of training for 2007.
The counselor in position number two on page three of the staffing requirements facility summary report of March 27, 2008 did not complete twenty-five hours of training in the prior training year. Only 19 training hours was documented for that counselor.
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Plan of Correction
The Site Director of Center City will meet with the counselor in question and inform them that "On-Line" trainings can not be included in the 25 hours required by the Department of Health - at this point in time. The Site Director will review 2008 Annual training plan with the counselor & keep monthly progress reports in the Staff Development Log to ensure this standard is met in 2008. If the counselor does not meet this standard in 2008, then appropriate disciplinary action outlined in Rehab After Work Policy Manuals will be enforced. |