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.
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.
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 6, 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, Cen-Clear Child Services, Inc. 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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Observations
The facility failed to document HIV/AIDS and TB/STD training in three of three personnel/training records reviewed.
Employee # 6 was hired as a counselor on March 18, 2019. There was no documentation of TB/STD training for employee # 6.
Employee # 8 was hired as a counselor on September 24, 2018. There was no documentation of HIV/AIDS and TB/STD training for employee # 8.
Employee # 9 was hired as a counselor on January 23, 2019. There was no documentation of HIV/AIDS training for employee # 9.
The findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Training Coordinator will provide new employees a checklist during orientation that informs them of the need to complete HIV/AID and TB/STD trainings within the required regulatory time frame. This will also be reviewed and monitored by a staff specific training coordinator and the clinical supervisor quarterly. Employees # 6, 8 and 9 will completed the required trainings no late June 30, 2020
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