Observations
Based on the review of client records, the facility failed to notify the Department of a change in activity.
The findings include:
Eleven patient records were reviewed on July 29, 2015. The facility is licensed to provide outpatient services. Outpatient services are defined as less than 10 hours of counseling services per week. The facility provided partial hospitalization services, 10 hours or more of counseling hours per week, to clients in client records # 7 and 11.
Client # 7 was admitted on October 27, 2014 and discharged on April 2, 2015. The client received 10 hrs of counseling services for the weeks of February 22, March 8 and March 22, 2015.
Client # 11 was admitted on August 12, 2014 and discharged April 10, 2015. The client received 10 hrs of counseling services for the weeks of August 24, September 7, September 28, October 5, October 12, October 19, and November 2, 2014.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Renewal Treatment, Inc. shall notify the Department of any changes in activity. Notifying the Department shall occur immediately by the VP-Program Management and/or the Clinical Director. Renewal Treatment, Inc. shall provide licensed outpatient treatment of no more than 9 hours a week to any client. The Clinical Supervisor shall provide immediate instruction to the AOD Counselors on this requirement. The Clinical Supervisor shall ensure that that outpatient services are not exceeding 9 hours a week to any client by doing an immediate chart review with immediate corrective measures. The Clinical Supervisor shall ensure continued compliance with this requirement during staff supervision and weekly chart review. This plan of correction is in place. The oversight of this plan of correction shall be the responsibility of the Clinical Supervisor and the Clinical Director. |