Observations
Based on the review of a client record, the facility failed to address written procedures for the management of treatment/rehabilitation services for clients in one of one client record. The findings include:An onsite complaint investigation was completed on November 10, 2014. One client record was reviewed. As a result of the complaint investigation, it was found that the facility's procedures for the management of treatment/rehabilitation services for clients did not include notifying the Department of an incident requiring the services of a law enforcement agency nor the safety of the clients. The facility did not notify the Department of an incident where, as the result of a client leaving the facility grounds and allegedly committing a criminal act, police had come to the facility to interview individuals at the residence. The facility was not aware the client had left the facility until the police arrived at the facility. These findings were reviewed with facility staff during the complaint investigation.
|
Plan of Correction
Although no interviews were conducted with our staff or clients, the State Police did respond to an incident at a residence located down the drive from our facility. A client left the facility without notifying staff and allegedly went onto the adjoining property located 1/4 mile from the facility. All new revised regulations for handling unusual incidents will be reviewed with all clinical staff and all other classes of employees during our staff meeting scheduled for 12/5/14. All employees will sign and acknowledge understanding of what constitutes an unusual incident and the reporting requirements. All new employees will also receive the same training and sign the incident form upon hiring. The Assistant Director will update the facility policy and procedure manual to reflect the updated policies from the 12/5/14 staff meeting. This shall be completed by 12/5/14. |