Observations
Based on a review of the Staffing Requirements Facility Summary Reports, the facility failed to have a full-time clinical supervisor for every eight full-time counselors or counselor assistants, or both.The findings include:The Staffing Requirements Facility Summary Reports for the 3 facilities contained within the project were reviewed on July 7-8, 2014. The equivalent of 34.25 full-time counselors are employed within the project. This would require at least 4 full-time clinical supervisors. The project currently employs 2 full-time clinical supervisors.The findings were discussed and confirmed with facility staff and were not disputed.
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Plan of Correction
Pinnacle Treatment Centers will comply with regulation 704.6 and will employ Clinical Supervisors to meet the ratio for the entire project. In doing so, Ensign I recently hired a new Clinical Supervisor and an additional Clinical Supervisor position was posted. These positions will enable the project to employ four Clinical Supervisors. In addition, Lead Counselors in both Ensign I and Johnstown will supplement the staffing plan. All positions will be in place by 10/1/14.
Regional Directors along with Facility Directors will ensure compliance with this regulation moving forward so that the entire project is staffed appropriately in the future.
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