Observations
The Staffing Requirements Facility Summary Reports for the 5 facilities were reviewed on August 2, 2016. Based on this review, the facility failed to have a full-time clinical supervisor for every eight full-time counselors and/or counselor assistants.
The equivalent of 8 full-time counselors were employed within the project requiring at least 1 full-time clinical supervisor. The project did not have a full-time clinical supervisor employed at the time of the inspection.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
These findings were shared with the facility on 11/4/16 and reviewed with the Project Director. Based on the review of these findings and a review of our staffing model against DDAP Regulations, we have designated 1 full-time Clinical Supervisor positions filled by Dr. Terry Murphy. These will be full time position, will not carry any direct case loads and will provide the direct supervision over the counselors. To prevent this issue from occurring in the future, the project director will monitor the formula for calculating how many FTE counselors are in the project and the project director will ensure that the project employs the required number of clinical supervisors based on the results of these calculations. |