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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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CORNELL ABRAXAS I
165 ABRAXAS ROAD
MARIENVILLE, PA 16239

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Survey conducted on 02/05/2009

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Cornell Abraxas I 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 February 27, 2009.
 
Plan of Correction

704.6(c)  LICENSURE Core Curriculum - Supervisor Training

704.6. Qualifications for the position of clinical supervisor. (c) Clinical supervisors and lead counselors who have not functioned for 2 years as supervisors in the provision of clinical services shall complete a core curriculum in clinical supervision. Training not provided by the Department shall receive prior approval from the Department.
Observations
Based on personnel record review, the facility failed to document clinical supervision training in two of two personnel records.



The findings include:



Fourteen personnel records were reviewed on February 2, 2009. Documentation of a core curriculum training in clinical supervision was required in two personnel records. The facility did not document clinical supervision training in personnel records # 2 and # 3.
 
Plan of Correction
Abraxas I will send both of the supervisors noted in the findings to a Bureau of Drug and Alcohol Programs (BDAP)-sponsored clinical supervisor training program. At this time, BDAP does not have a specific date available for this training. Our intent is to send the supervisors noted in the findings to the first available BDAP-sponsored clinical supervisor training.



Until the training is scheduled, the Abraxas I program manager overseeing the D&A-licensed units is providing monthly supervision to both of the supervisors listed in the findings. These supervisors have participated in a variety of on-site trainings to enhance their professional development. These trainings include, but are not limited to, coaching/mentoring employees, performance evaluation, and effective milieu management. Upcoming training topics include: cognitive behavioral therapy, corrective action, and review of treatment progress. In addition, Abraxas I is pursuing other clinical supervisor trainings sponsored by agencies listed in the Department's 01-09 Licensing Alert. Abraxas I will utilize one of these trainings should they be available in a more timely fashion than a BDAP-sponsored training.


 
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