INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 27, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, PA Treatment and Healing 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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704.6(b) LICENSURE Qualification Groups
704.6. Qualifications for the position of clinical supervisor.
(b) A clinical supervisor shall meet at least one of the following groups of qualifications:
(1) A Master's Degree or above from an accredited college with a major in medicine, chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in administration or the human services) or other related field and 2 years of clinical experience in a health or human service agency which includes 1 year of working directly with the chemically dependent.
(2) A Bachelor's Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in administration or the human services) or other related field and 3 years of clinical experience in a health or human service agency which includes 1 year of working directly with the chemically dependent person.
(3) An Associate Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a clinical specialty in administration or the human services) or other related field and 4 years of clinical experience in a health or human service agency which includes 1 year of working directly with the chemically dependent person.
(4) Full certification as an addictions counselor by a statewide certification body which is a member of a National certification body or certification by another state government's substance abuse counseling certification board and 3 years of clinical experience in a health or human service agency which includes 1 year of working directly with the chemically dependent person. The individual shall also complete a Department approved core curriculum training which includes a component on clinical supervision skills.
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Observations
One personnel record was reviewed for the clinical supervisor position on September 21, 2017.
Employee # 3 was hired by the project on 4/17/17 as a counselor, and was then promoted to the clinical supervisor position on 6/19/17. The qualifications documented in the employee's record indicated that the employee completed a Master's degree in Sport and Exercise Psychology. Documention of the employee's prior work experience failed to demonstrate that the employee acquired at least 2 years of prior clinical experience in a health or human service agency. Therefore, this employee did not meet all qualifications for the clinical supervisor position.
This finding was reviewed with facility staff during the licensing inspection.
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Plan of Correction
Project director will review and approve all applications prior to interview to ensure that each potential candidate has the appropriate education, experience and certification prior to being hired to ensure quality review of applicants. Employee #3 will have reached her 2 years of clinical experience in April of 2018. Employee #3 will take the role of Lead Counselor immediately until she reaches her required experience and will be supervised by the facility director and project director until April of 2018 at which time she will resume her title, duties and role of Clinical Supervisor. |