704.5(c) LICENSURE Qualifications for Proj/Fac Dir
704.5. Qualifications for the positions of project director and facility director.
(c) The project director and the facility director shall meet the qualifications in at least one of the following paragraphs:
(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 specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and 2 years of experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.
(2) A Bachelor's Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and 3 years of experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.
(3) An Associate Degree from an accredited college with a major in chemical dependency, psychology, social work, counseling, nursing (with a specialty in nursing/health administration, nursing/counseling education or a clinical specialty in the human services), public administration, business management or other related field and 4 years of experience in a human service agency, preferably in a drug and alcohol setting, which includes supervision of others, direct service and program planning.
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Observations
Based on a review of personnel records, the facility failed to insure that the project director met the appropriate educational requirements.
The findings included:
Four personnel records were reviewed on February 28, 2012. Personnel record #1 was reviewed as the project director. The employee's personnel record documented that the employee has a diploma in nursing. The qualification of a project director is a degree from an accredited college with a major in nursing .
The project director was interviewed on February 28, 2012 and confirmed the findings.
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Plan of Correction
Based on the documented educational and work experience of 41 years along with her current position as Chief Executive Officer of Corry Memorial Hospital a letter for exception to standard 704.5 regarding qualification for the position of project director was submitted to the Director of the Division of Drug & Alcohol Program Licensure for the State of Pennsylvania on March 8, 2012. When confirmation of the exception is received, it will be available in the personnel file of the employee, the CEO's Office and the Drug & Alcohol program manual for review as needed. |