INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on October 23, 2007 and October 24, 2007 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Harbor Counseling, 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 and a plan of correction is due on November 27, 2007.
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Plan of Correction
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704.11(c)(1) LICENSURE Mandatory Communicable Disease Training
704.11. Staff development program.
(c) General training requirements.
(1) Staff persons and volunteers shall receive a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum. Counselors and counselor assistants shall complete the training within the first year of employment. All other staff shall complete the training within the first 2 years of employment.
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Observations
The facility failed to meet the general training requirements in two of four staff development files reviewed on October 24, 2007. Counselors represented by employees #3 and #4 were hired on February 20, 2006 and did not receive six hours of HIV/AIDS and 4 hours of TB/STD's within one year of employment.
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Plan of Correction
The Counselors identified are registered for and scheduled to attend the required training on December 5, 2007 at Soldiers and Sailors Memorial Hospital in Wellsboro, Pa. |
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
One of four counselors failed to complete twenty -five hours of training annually. Staff development file number five, reviewed on October 24, 2007, did not include or document twenty-five hours of training for the July 1, 2006 through June 30, 2007 training year.
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Plan of Correction
The Clinical Supervisor will monitor quarterly progress made towards satisfactory completion of counselor's established staff training plan to ensure compliance with this reqirement. |