704.5(c) LICENSURE Qualifications for Proj/Fac Dir
704.5. Qualifications for the positions of project director and facility director.
(c) The project director and the facility director shall meet the qualifications in at least one of the following paragraphs:
(1) A Master's Degree or above from an accredited college with a major in medicine, chemical dependency, psychology, social work, counseling, nursing (with a specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and 2 years of experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.
(2) A Bachelor's Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and 3 years of experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.
(3) An Associate Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and 4 years of experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.
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Observations
Based on a review of personnel records and conversation with the project director it was determined that the facility failed to insure that the staff person appointed to the project director position met the appropriate educational requirements.
Findings:
Six personnel records were reviewed on December 2, 2008. The facility failed to document the staff person met the appropriate educational requirements in personnel record #1. The staff person's major was not documented.
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Plan of Correction
Millcreek Community Hospital employs a Project/Facility Director for the Drug and Alcohol Program who holds a Masters Degree in Psychology. The display protion of that degree only states that a masters degree was earned and not the major.
The transcript for that degree is available and has been faxed to the appropriate contact as well as mailed to the Division of Drug and Alcohol to substanciate that the educational requirement has been met.
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