Observations
Based on a review of supervision notes and clinical documentation, as well as staff interview, the facility failed to ensure the counselor assistant was supervised by a full-time clinical supervisor or counselor. The facility director was supervising the counselor assistant.
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Plan of Correction
Due to the Counselor who was still on performance probation and unable to properly, without liability, supervise the Counselor Assistant, in her place the Program Director provided supervision as outlined by state regulations. The Program Director was the only personnel qualified to supervise the CA. There is only two counselor positions. This program will submit a waiver asking for an exception to this regulation when the Counselor position is vacant or under a probationary period, the Program Director be allowed to temporarily supervise the CA until the probationary period is complete due to their only being two counselor positions and because their being no other clinical staff at the facility who meets the clinical criteria to do so. |