INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on July 17, 2018 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Gaudenzia Inc. Winner Co-Occurring Women and Children Program was found to be not in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
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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
The facility failed to ensure each counselor complete at least 25 clock hours of training annually.
Counselor # 3 completed 22 hours of training.
These finding were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Supervisor of Clinical, Child Care, and House Managers will review training hours monthly and schedule trainings. The Program Director will review supervisors registrations quarterly for compliance. |
709.53(a)(3) LICENSURE Records of Service
709.53. Client records.
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to, the following:
(3) Record of services provided.
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Observations
The facility failed to ensure a complete client record.
The facility failed to document a record of services provided in five out of seven client records.
Client records # 3, 4 and 7 did not include a record of services provided.
These findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
Clinical Supervisor will review counselors record of services weekly for compliance. At months end, the clinical supervisor will review records of service with the Program Director to ensure compliance. |