Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
Part 1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
Part 2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 1, an abbreviated off-site inspection, conducted on July 7, 2020, by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.
Based on the findings of Part 1, an abbreviated off-site inspection, Peniel Drug and Alcohol Residential Treatment Facility 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:
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Plan of Correction
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Observations
Based on a review of four personnel records on July 7, 2020, the facility failed to ensure that a counselor assistant met the requirements for counselor within 5 years of employment. A counselor assistant who has accumulated less than 7,500 hours of employment during the first 5 years of employment will have 2 additional years to meet the requirements for counselor.
Staff #3 was hired on September 5, 2007 and promoted to counselor assistant on January 8, 2013. Staff #3 was granted an exception in 2018 and was allowed two additional years to meet the requirements of a counselor. The exception expired on January 1, 2020 and Staff #3 still had not met the qualifications of a counselor but was still employed as a counselor assistant at the time of the review of personnel records.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
On July 2, 2020 the corrective action was completed regarding staff #3 by the Founding President and CEO. Staff #3 was again made aware of the qualifications and time frames for a counselor. He was removed from the counselor assistant position and was moved to the academic department. Staff #3 was provided with a new job description and is employed as the Academic Director.
The office of the Founding President and CEO will ensure that all future staff in the counselor assistant position will meet the necessary qualifications and time frames for a counselor. |