Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 1, an abbreviated off-site inspection, conducted on April 10, 2020 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.
Based on the findings of Part 1, an abbreviated off-site inspection, Renew Family Services, LLC 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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Observations
Based on the review of personnel records, the facility failed to ensure that clinical supervisors who have not functioned for 2 years as a supervisor in the provision of clinical services completed a Department-approved core curriculum in clinical supervision.
Employee # 3 was hired as a clinical supervisor on June 1, 2019 and did not have documented clinical supervision experience prior to being hired. There was no documentation of a Department-approved clinical supervision core curriculum training on file at the time of the inspection.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
The Assistant Clinical Supervisor will take the next available Clinical Supervisor Training that is approved prior to signing up by DDAP within the next month. Any new supervisors that Renew Family Services hire will now attend the Clinical Supervision Training within the first six months of being hired moving forward. |