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 May 18, 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, Gaudenzia Common Ground 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 a review of personnel records on May 18, 2020, the facility failed to ensure that employee #3 hired as the clinical supervisor August 26, 2019 completed a core curriculum in clinical supervision.
These findings were discussed with facility during the licensing process.
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Plan of Correction
The Clinical Supervisor had been registered for DDAP Clinical Supervision Training on 3/23-3/27/20, 5/18-5/22/20, and 6/15-6/19/20. Each of these training opportunities were cancelled as a result of COVID-19. The Clinical Supervisor will continue to monitor the DDAP training site and register for this training as soon as it becomes available.
All future Clinical Supervisors will be scheduled for this training immediately at the time of promotion/hire in order to ensure compliance with this standard.
The Program Director will have the ultimate responsibility for ensuring compliance with this standard.
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