INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on June 29-30, 2016 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Alpha House, 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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704.11(c)(2) LICENSURE CPR CERTIFICATION
704.11. Staff development program.
(c) General training requirements.
(2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
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Observations
The facility failed to ensure at least one person trained in CPR skills was onsite during the project's hours of operation.
Staff schedules and CPR certification cards were reviewed on June 29-30, 2016. At the time of the inspection, employee #4 was not certified in CPR. Employee # 4 was the only staff person in the facility for shifts on the following days: 6/4/16, 6/6/16, 6/7/16, 6/10/16, 6/13/16, 6/14/16, 6/21/16, 6/23/16, 6/25/16, 6/27/16 and 6/28/16.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Employee #4 is scheduled for CPR training July 15, 2016. This employee will not work after regularly scheduled 9-5 hours until CPR is obtained. The Residential Director is responsible for scheduling and the Executive Director is responsible documentation that the CPR requirement has been met. This documentation will be placed in Employee #4's training record. All future employee's will have CPR training prior to being scheduled to work in off regular hour capacity. |
704.11(f)(2) LICENSURE Trng Hours Req-Coun
704.11. Staff development program.
(f) Training requirements for counselors.
(2) Each counselor shall complete at least 25 clock hours of training annually in areas such as:
(i) Client recordkeeping.
(ii) Confidentiality.
(iii) Pharmacology.
(iv) Treatment planning.
(v) Counseling techniques.
(vi) Drug and alcohol assessment.
(vii) Codependency.
(viii) Adult Children of Alcoholics (ACOA) issues.
(ix) Disease of addiction.
(x) Aftercare planning.
(xi) Principles of Alcoholics Anonymous and Narcotics Anonymous.
(xii) Ethics.
(xiii) Substance abuse trends.
(xiv) Interaction of addiction and mental illness.
(xv) Cultural awareness.
(xvi) Sexual harassment.
(xvii) Developmental psychology.
(xviii) Relapse prevention.
(3) If a counselor has been designated as lead counselor supervising other counselors, the training shall include courses appropriate to the functions of this position and a Department approved core curriculum or comparable training in supervision.
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Observations
The facility failed to document each counselor completed 25 clock hours of training for the 2014-2015 training year.
Training documentation for the 2014 - 2015 training year was reviewed on June 29-30, 2016. At the time of the inspection, employee #6 had 13 hours of training documented for the 2014 - 2015 training year.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Employee #6, as well as all other Counselors will be instructed to submit to the Residential Director verification of 25 hours of continuing training in the next training period. Alpha House will be changing from fiscal year to calendar year training. The Executive Director will be responsible for filing the documentation in the file of each employee. In the future, the Executive Director will examine the training record and inform the Residential Director of non-compliance for corrective action prior to inspection. |