Observations
Based on a review of counselor caseload lists and the Staffing Requirements Facility Summary Report form completed by the facility on April 26, 2012, the facility failed to ensure that staff caseloads remained at or under 35:1.
The findings include:
On April 26, 2012, the Staffing Requirements Facility Summary Report form and counselor caseload lists were reviewed. The facility has two counselors. Both counselors had caseloads documented on the staffing form.
The standard work week of the facility is 37.5 hours per week.
Based on the total number of hours that the facility reported the employee dedicated to their clients, the total number of hours in the standard work week of the facility and the total number of clients assigned to the following employee on April 26, 2012; employee # 1 exceeded the allowable maximum 35:1 caseload.
The number of hours per week dedicated by employee # 1 to client treatment, as reported on the Staffing Requirements Facility Summary Report, was 37.5 hours per week. The facility reported on the staffing form that employee # 1 had 40 active clients on April 26, 2012.
Employee # 1:
37.5 hours/37.5 hours = 1 FTE (full time equivalent), 40 clients/1 FTE = 40:1 caseload
The project director and facility director were interviewed on April 26, 2012 at approximately 2:00 PM and confirmed the findings.
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Plan of Correction
The program director is advertising to hire additional part time staff to meet the staff FTE ratio requirement. No therapist will have a caseload above the 35 clients. The facility director will review therapist caseloads on a weekly basis to determine staff ratio and compliance of 35:1 ratio is consistent. |