Observations
Based on a review of client records, the facility failed to notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the project, in two of two client records.
The findings include:
Eight client records were reviewed on August 16 & 17, 2011. Two records were required to include documentation of a notification to the client, in writing, of a decision to involuntarily terminate the client's treatment at the project. The facility failed to notify the client, in writing, of a decision to involuntarily terminate the client's treatment at the project, in client records # 2 and # 3.
In client record # 2, the client was admitted into treatment on May 16, 2011 and was involuntarily terminated from the project on June 8, 2011. There was no documentation of written notification to the client, at the time of the licensing inspection, on August 16 & 17, 2011.
In client record # 3, the client was admitted into treatment on June 1, 2011 and was involuntarily terminated from the project on July 11, 2011. There was no documentation of written notification to the client, at the time of the licensing inspection, on August 16 & 17, 2011.
This was discussed with and confirmed by the facility director on August 16, 2011 during an interview.
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Plan of Correction
Renewal Treatment Inc. shall notify the client, in writing, of a decision to involuntarily terminate the client's treatment. A copy of this notification shall be kept in the client's file. The Program Director and Clinical Supervisor provided instruction and training to the treatment staff in regards to this requirement. All concerned treatment staff have beeen notified, trained and shall follow this requirement. The treatment staff shall prepare written notification to the client detailing the reason for termination and the client's oppurtunity to request reconsideration. Treatment staff shall hand deliver this written notification to the client at the time of their involuntary discharge; or if this is not possible, shall promptly mail it to their forwarding address. A copy of this notification will be kept on file in their client record. The Clinical Supervisor and Counselor shall sign off on all written notices of involuntary discharge. The Clinical Supervisor shall directly oversee the Counseling staff and shall provide continual oversight to ensure that this plan of correction is adhered too. The Clinical Supervisor shall be cognizant of this requirement during supervision sessions and shall ensure compliance during client chart reviews. This plan of correction is currently in place. |