INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on April 6 through 7, 2009 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Clear Concepts Counseling 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 and a plan of correction is due on May 2, 2009.
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Plan of Correction
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704.9(c) LICENSURE Supervised Period
704.9. Supervision of counselor assistant.
(c) Supervised period.
(1) A counselor assistant with a Master's Degree as set forth in 704.8 (a)(1) (relating to qualifications for the position of counselor assistant) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 3 months of employment.
(2) A counselor assistant with a Bachelor's Degree as set forth in 704.8 (a)(2) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 6 months of employment.
(3) A registered nurse as set forth in 704.8 (a)(3) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 6 months of employment.
(4) A counselor assistant with an Associate Degree as set forth in 704.8 (a)(4) may counsel clients only under the close supervision of a trained counselor or clinical supervisor for at least the first 9 months of employment.
(5) A counselor assistant with a high school diploma or GED equivalent as set forth in 704.8 (a)(5) may counsel clients only under the direct observation of a trained counselor or clinical supervisor for the first 3 months of employment. For the next 9 months, the counselor assistant may counsel clients only under the close supervision of a lead counselor or a clinical supervisor.
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Observations
Based on the review of employee records, the facility failed to document direct observation for one of one high school level counselor assistants.The findings include:Six employee records were reviewed on April 6, 2009. Direct observation was required for one of six employees. The facility did not document direct observation for employee # 4.
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Plan of Correction
Our project is in full compliance with this standard as of today 4/7/2009. We mistakenly classified an employee as a counselor when in fact he is classified as a Counselor Assistant. This mistake was discovered during the on-site licensure renewal inspection. In actuality, the counselor assistant will have direct observation for 3 months during every session that is conducted a qualified staff member will be present and documentation will be completed. The counselor assistant will then have 9 months of close supervision under our lead counselor or the clinical supervisor and documentation will be completed. In the future we will correctly identify these positions. |