INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on December 18, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Drug and Alcohol Services of Beaver Valley 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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704.11(d)(2) LICENSURE Annual Training Requirements
704.11. Staff development program.
(d) Training requirements for project directors and facility directors.
(2) A project director and facility director shall complete at least 12 clock hours of training annually in areas such as:
(i) Fiscal policy.
(ii) Administration.
(iii) Program planning.
(iv) Quality assurance.
(v) Grantsmanship.
(vi) Program licensure.
(vii) Personnel management.
(viii) Confidentiality.
(ix) Ethics.
(x) Substance abuse trends.
(xi) Developmental psychology.
(xii) Interaction of addiction and mental illness.
(xiii) Cultural awareness.
(xiv) Sexual harassment.
(xv) Relapse prevention.
(xvi) Disease of addiction.
(xvii) Principles of Alcoholics Anonymous and Narcotics Anonymous.
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Observations
The facility failed to document that the project/facility director had at least 12 hours of training for the 2016-2017 training year.
Staff training records were reviewed on December 18, 2017. Staff #1, the project/facility director, completed one hour of training for July 1, 2016 - June 30, 2017 training year.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
In order to insure program compliance with training requirements the development director will be responsible for maintaining a spreadsheet listing all employees, required training and the number of hours needed and number completed. This spreadsheet will be posted and monitored monthly by the Development 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
The facility failed to document that counselors completed at least 25 hours of training for the 2016-2017 training year.
Staff training records were reviewed on December 18, 2017. Staff #4 did not have documentation of at least 25 hours of training for the July 1, 2016 - June 30, 2017 training year.
Staff #4 was hired on February 2, 2015. Staff #4 had documentation of 11 hours of training for the 2016 -2017 training year.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
In order to insure program compliance with training requirements the Development Director will be responsible for maintaining a spreadsheet listing all employees, required training and the number of hours needed and number completed. This spreadsheet will be posted and monitored monthly by the Development Director. |