INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on August 8, 2017, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Laure Rohrs Gargano 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:
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Plan of Correction
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704.11(f)(2) LICENSURE Trng Hours Req-Coun
704.11. Staff development program.
(f) Training requirements for counselors.
(2) Each counselor shall complete at least 25 clock hours of training annually in areas such as:
(i) Client recordkeeping.
(ii) Confidentiality.
(iii) Pharmacology.
(iv) Treatment planning.
(v) Counseling techniques.
(vi) Drug and alcohol assessment.
(vii) Codependency.
(viii) Adult Children of Alcoholics (ACOA) issues.
(ix) Disease of addiction.
(x) Aftercare planning.
(xi) Principles of Alcoholics Anonymous and Narcotics Anonymous.
(xii) Ethics.
(xiii) Substance abuse trends.
(xiv) Interaction of addiction and mental illness.
(xv) Cultural awareness.
(xvi) Sexual harassment.
(xvii) Developmental psychology.
(xviii) Relapse prevention.
(3) If a counselor has been designated as lead counselor supervising other counselors, the training shall include courses appropriate to the functions of this position and a Department approved core curriculum or comparable training in supervision.
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Observations
Based on a review of staff records conducted during the onsite inspection, the facility failed to ensure that all staff persons had the required annual training hours.
Employee #1, the facility director and only counselor, obtained 19 of the 25 required training hours for counselors for the 2016 training year.
These findings were reviewed with facility staff as part of the inspection process.
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Plan of Correction
The provider will at the time the annual training plan recommendations is completed will identify specific training opportunities to address identified areas of need/interest. The provider will schedule identified trainings at that time to assure the 25 hours are within the calendar year. |
709.25 LICENSURE Fiscal Management
§ 709.25. Fiscal management.
The project shall obtain the services of an independent certified public accountant for an annual financial audit of activities associated with the project ' s drug/alcohol abuse services, in accordance with generally accepted accounting principles which include reference to the drug and alcohol treatment activities.
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Observations
Based on a review of facility records sent to the Department as part of the presubmission process, and based on an interview with facility staff conducted during the onsite inspection, the facility failed to obtain the services of an independent certified public account for their financial audit in the year 2016.
These findings were reviewed with facility staff as part of the inspection process.
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Plan of Correction
The Program Director will request an exception for the annual audit as outlined in the standard. If exception is not granted, the Program Director will seek out certified public accountant on a yearly basis to perform audit. If exception is granted the Program Director will reapply for exception every year as long as facility remains eligible for exception, and will procure the services of a certified public accountant whenever exception is not granted. |