INITIAL COMMENTS
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This report is a result of an on-site provisional license follow-up inspection conducted on July 16, 2021 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Snug Harbor Rehabilitation and Recovery LLC 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(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 the personnel training records, the facility failed to have each counselor complete at least 25 clock hours of training annually. One counselor was applicable for the training year reviewed, and did not have the required hours. Employee #3 documented seven hours of training for the October 1, 2019 to September 30, 2020 training year.The findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Plan of Correction:
Snug Harbor has contracted with Relias for educational trainings, in addition to DDAP and on site (in house) trainings we will adhere to the training requirements.
Staff holding positions requiring minimal training hours will complete those training hours each training year.
This will be implemented by January 24, 2021. The clinical Supervisor and Program Manager will ensure this is managed. |
709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on a review of the administrative information, the facilty failed to document an annual financial audit for 2020. The findings were reviewed with facility staff during the licensing process.This is a repeat citation from the November 16 - 18, 20, 2020 inspection.
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Plan of Correction
Snug Harbor will request from our private accountant a formal annual audit at year end.
The Executive Director will ensure this is completed on an annual basis. Arrangements have been made for this process by September 30, 2021.
This was delayed due to COVID employee shortage.
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