INITIAL COMMENTS
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Based on the concerns arising from COVID-19, The Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment, has implemented temporary procedures for conducting an annual renewal inspection.
The inspection will be divided into two parts.
Part 1, an abbreviated off-site inspection, will be conducted off site, and will require the submission of administrative information via email to a Licensing Specialist.
Part 2, an abbreviated on-site inspection, will be conducted on-site, at a later date and will include a review of client/patient records, and a physical plant inspection.
This report is a result of Part 1, an abbreviated off-site inspection, conducted on May 5, 2020, by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Not all regulations were reviewed, the remainder of the regulations, not reviewed during Part 1, will be reviewed at a later date.
Based on the findings of Part 1, an abbreviated off-site inspection, The Empowerment Resurrection Center 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:
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Plan of Correction
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704.8(c) LICENSURE Full Caseload Assignment
704.8. Qualifications for the position of counselor assistant.
(c) In addition to training, assignment of a full caseload shall be contingent upon the supervisor's positive assessment of the counselor assistant's individual skill level.
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Observations
Based on a review of four personnel files the facility failed to provide the supervisor ' s positive assessment of their counselor assistant ' s individual skill level prior to assigning a full caseload. Staff # 4 was hired on April 1, 2019 as a counselor assistant and is still current in that position.
These findings were discussed during the licensing process.
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Plan of Correction
From now on the Program Directory, will meet with any Counselors Assistants and provide an assessment (and/or a performance evaluation) of their individual skill level after being hired and before any counselors assistant (Staff #4) is assigned a full caseload. |
704.9(b) LICENSURE Performance evaluation
704.9. Supervision of counselor assistant.
(b) Performance evaluation. The counselor assistant shall be given a written semiannual performance evaluation based upon measurable performance standards. If the individual does not meet the standards at the time of evaluation, the counselor assistant shall remain in this status until the supervised period set forth in subsection (c) is completed and a satisfactory rating is received from the counselor assistant's supervisor.
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Observations
Based on a review of four personnel files the facility failed to give the one counselor assistant a written semiannual performance evaluation based upon measurable performance standards.
Staff #4 was hired on April 1, 2019 as a counselor assistant and is still current in that position. Staff #4 did not receive a semiannual performance evaluation lonely an annual performance evaluation April 30, 2020.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
From now on the Program Director will be responsible for providing semiannual written performance evaluations based on measurable performance standards. On staff #4 and all future hires in the same position. |
704.11(g)(1) LICENSURE Trng Req-Couns Asst
(g) Training requirements for counselor assistants.
(1) Each counselor assistant shall complete at least 40 clock hours of training the first year and 30 clock hours annually thereafter in areas such as:
(i) Pharmacology.
(ii) Confidentiality.
(iii) Client recordkeeping.
(iv) Drug and alcohol assessment.
(v) Basic counseling.
(vi) Treatment planning.
(vii) The disease of addiction.
(viii) Principles of Alcoholics Anonymous and Narcotics Anonymous.
(ix) Ethics.
(x) Substance abuse trends.
(xi) Interaction of addiction and mental illness.
(xii) Cultural awareness.
(xiii) Sexual harassment.
(xiv) Developmental psychology.
(xv) Relapse prevention.
(h) Training hours. Training hours are not cumulative from one personnel classification to another.
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Observations
Based on a review of four personnel files the facility failed to ensure that their counselor assistant completed at least 40 clock hours of training the first year and 30 clock hours annually thereafter.
Staff #4 was hired on April 1, 2019 as a Counselor Assistant and is still current in that position. Staff #4 had 25 clock hours of training for the first training year.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
In the future the Program Director will be responsible for making sure that all counselors assistants complete 40 clock hours of training the first year and 30 hours annually thereafter. |