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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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CLINICAL OUTCOMES GROUP INCORPORATED
1 SOUTH SECOND STREET, FIRST FLOOR AND BASEMENT
POTTSVILLE, PA 17901

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Survey conducted on 06/29/2022

INITIAL COMMENTS
 
This report is a result of an off-site complaint investigation conducted on June 28-29, 2022 by staff from the Bureau of Program Licensure. Based on the findings of the off-site complaint investigation, Clinical Outcomes Group Incorporated was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
 
Plan of Correction

704.12(a)(6)  LICENSURE OutPatient Caseload

704.12. Full-time equivalent (FTE) maximum client/staff and client/counselor ratios. (a) General requirements. Projects shall be required to comply with the client/staff and client/counselor ratios in paragraphs (1)-(6) during primary care hours. These ratios refer to the total number of clients being treated including clients with diagnoses other than drug and alcohol addiction served in other facets of the project. Family units may be counted as one client. (6) Outpatients. FTE counselor caseload for counseling in outpatient programs may not exceed 35 active clients.
Observations
Based on the review of the Staffing Requirements Facility Summary Report, the facility failed to keep client/staff ratios at or below the regulation limit of 35/1.Employee # 1 was reported to have 10 hours per week devoted to the 10 clients on their caseload. The counselor Full Time Equivalent (FTE) is determined by dividing the total number of hours the employee devotes to their clients by the facility's work week. Then in order to obtain the employee's ratio, the total number of clients on the caseload is divided by the FTE. The FTE caseload calculation for Employee # 1 is as follows: 10/40 = .25; 10/.25 = 40. This equals to a client/counselor ratio of 40/1.
 
Plan of Correction
When completing the Staffing Requirement Facility Summary Report, employee #1 will be given paperwork time to maintain and complete the required paperwork for her 10 clients. This will be effective whenever the form completion is being requested. All other hours will be documented under admin duties. Employee #1 will not have more than the allowable fulltime counselor to client ratio of 35 to 1.

 
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