Observations
Based on review of The Staffing Requirements Facility Summary Report, the facility failed to ensure the FTE counselor caseload for one staff member in the outpatient program did not exceed 35 active clients.
Staff #5 was hired as a counselor on April 10, 2022 and was still in this position at the time of the inspection. Staff #5 was reported to have 30.5 hours per week devoted to their 32 clients on their caseload.
The FTE counselor ' s caseload calculation is as follows: 30.5/37.5 = .81(FTE); 32/.81 = 39.5, which equals to a client/counselor ratio of 39:1.
The counselor Full Time Equivalent (FTE) is determined by dividing the total number of hours the counselor devotes to their clients by the facilities hours of operation 37.5. Then, in order to obtain the counselor ' s ratio, the total number of clients on the counselor ' s caseload is divided by the FTE.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Staff will utilize a tracking table that breaks down the number of ATIS cases the therapists can have if they also serve OPA clients. Staff will utilize the current formula utilized by the reviewer and monitor therapist hour's calculation on a monthly basis. The program will continue its ongoing recruitment efforts to ensure continued caseload requirements. |