This report is a result of an on-site licensure renewal inspection conducted on February 4, 2026, by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Hispanic American Organization, Inc. 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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Observations
Based on the review of three personnel records, the project failed to ensure that a clinical supervisor that has not functioned for two years as a supervisor in the provision of clinical services completed a core curriculum in clinical supervision.Employee #2 was hired as a clinical supervisor on August 2, 2025, and was current in that position at the time of the inspection. Employee #2 had not functioned for two-years as a supervisor in the provision of clinical services and as of the time of the inspection had not completed a core curriculum in clinical supervision. These findings were reviewed with project staff during the licensing process.
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Plan of Correction
1) Employee #2 will complete the required 30 hours of clinical supervision training with an approved DDAP provider for this training in accordance with state regulations (Clinical Supervision Series Part 1/2 Havana Wellness Studio). This training will address all required components of the core curriculum for clinical supervision to ensure compliance with regulatory standards.
2) The agency will implement a standardized pre-employment and role-transition verification process requiring documentation of completed supervision training prior to assuming or continuing in a clinical supervisor role. Human Resources and Program Leadership will review supervisory credentials upon hire, promotion, and annually thereafter to ensure ongoing compliance.
3) Employee #2 started the required 30-hour supervision training on 03/02/2026, with scheduled completion no later than 04/30/2026. All corrective actions related to Employee #2 will be completed by 04/30/2026.
4) Documentation of training completion will be placed in Employee #2's personnel file. Compliance will be confirmed by the Project Director.
5) The project Director is responsible for ensuring that this corrective action plan is fully implemented and monitored.
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