INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 8, 2008 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Beal Counseling and Consulting 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 and a plan of correction is due on November 4, 2008.
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Plan of Correction
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704.7(b) LICENSURE Counselor Qualifications
704.7. Qualifications for the position of counselor.
(a) Drug and alcohol treatment projects shall be staffed by counselors proportionate to the staff/client and counselor/client ratios listed in 704.12 (relating to full-time equivalent (FTE) maximum client/staff and client/counselor ratios).
(b) Each counselor shall meet at least one of the following groups of qualifications:
(1) Current licensure in this Commonwealth as a physician.
(2) A Master's Degree or above from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in the human services) or other related field which includes a practicum in a health or human service agency, preferably in a drug and alcohol setting. If the practicum did not take place in a drug and alcohol setting, the individual's written training plan shall specifically address a plan to achieve counseling competency in chemical dependency issues.
(3) A Bachelor's Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in the human services) or other related field and 1 year of clinical experience (a minimum of 1,820 hours) in a health or human service agency, preferably in a drug and alcohol setting. If a person's experience did not take place in a drug and alcohol setting, the individual's written training plan shall specifically address a plan to achieve counseling competency in chemical dependency issues.
(4) An Associate Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in the human services) or other related field and 2 years of clinical experience (a minimum of 3,640 hours) in a health or human service agency, preferably in a drug and alcohol setting. If a person's experience was not in a drug and alcohol setting, the individual's written training plan shall specifically address a plan to achieve counseling competency in chemical dependency issues.
(5) Current licensure in this Commonwealth as a registered nurse and a degree from an accredited school of nursing and 1 year of counseling experience (a minimum of 1,820 hours) in a health or human service agency, preferably in a drug and alcohol setting. If a person's experience was not in a drug and alcohol setting, the individual's written training plan shall specifically address a plan to achieve counseling competency in chemical dependency issues.
(6) Full certification as an addictions counselor by a statewide certification body which is a member of a National certification body or certification by another state government's substance abuse counseling certification board.
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Observations
Based on a review of four personnel records on October 8, 2008, the facility failed to hire counselors who meet the qualifications for the position of a counselor in one of four personnel records where required.
Findings:
The facility did not submit the employee's credentials for review to determine if the criminal justice degree was a related degree. Employee #4 did not meet the qualification as a counselor because the credentials had not been submitted for review.
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Plan of Correction
Employee #4 will no longer be utilized by this Project. The contract with this employee was terminated on 10/14/08. The Program Director obtained the Licensing Alert 03-08 and reviewed this document on 10/09/08. Upon the hire of any new employee with a degree other what is explicitly illustrated in Licensing Alert 03-08 the Program Director will submit a request for review to Division of Drug and Alcohol Program Licensure. |
709.92(a)(1) LICENSURE Treatment and rehabilitation services
709.92. Treatment and rehabilitation services.
(a) An individual treatment and rehabilitation plan shall be developed with a client. This plan shall include, but not be limited to, written documentation of:
(1) Short and long-term goals for treatment as formulated by both staff and client.
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Observations
Based on a review of six client records on October 8, 2008, the facility failed to document treatment plans that were individualized or specific to clients needs in three of six client records where required.
Findings:
The treatment plans were not individualized in client records #1, 2 and 3. The long and short term goals listed on the treatment plan in all three client records were the same.
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Plan of Correction
The Program Director will implement a new treatment planning system that will identify problems as observed by the counselor and client. The training for all staff will be conducted on 10/25/08 and the counselors will begin implementing the process with new clients on that date. As specific problems are identified they will be entered into the record and given an entry date. The counselor and client will develop long term goals and target dates for completion of the long term goals. Short term objectives/interventions will be developed to meet the agreed upon goals. All interventions will be within the scope of the counselor's ability and individualized to the needs of the client. |