INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 3-4, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Family Services of Warren County, Inc. 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 and a plan of correction is due on May 28, 2010.
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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 personnel records, the facility failed to document the completion of 25 clock hours of annual training required for counselors in one of two personnel records reviewed.
The findings include:
Four personnel records were reviewed on May 3, 2010. Two of the personnel records were counselors. Two personnel records were required to document the completion of 25 clock hours of annual training. The facility failed to document 25 clock hours of annual training in employee personnel record # 3.
Employee # 3 was hired on February 6, 2008. The facility training year is from January through December. The training year for January 2009 to December 2009 was reviewed. Employee # 3 had only completed 9 clock hours of annual training in 2009.
The Director confirmed on May 3, 2010 that the counselor did not have the 25 clock hours of training for the 2009 training year.
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Plan of Correction
In regards to Employee # 3 not having the documented 25 hours of annual training needed the following action has already taken place and will continue:
- The counselor has been alerted and informed by the Supervisor of the Substance Abuse Services Program/ Facility Director of his responsibility to attain 25 hours of annual training a year to coordinate with the calendar year and to complete the appropriate paperwork to document such hours to the Executive Director/ Project Director
- Supervisor of the Substance Abuse Services Program/ Facility Director and the Executive Director/ Project Director will meet monthly to assure that the clinical staff is meeting their 25 hour annual training requirement
- Executive Director/ Project Director is currently maintaining an ongoing list to coordinate with each calendar year the trainings completed and hours during that calendar year for each clinical staff to monitor the hours still needed in order to assure that compliance is met with the licensing regulation.
- Currently, Employee # 3 has already attained 21 hours of the 25 hours of annual training needed for this calendar year
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