INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 23-24, 2019 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Based on the findings of the on-site inspection, Turning Point II 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(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 at least 25 hours of training for the 2018-2019 training year. The facility training year operates from July 1 - June 30. The 2018-2019 training year was reviewed. Staff #2 has been a counselor since April 11, 2017. Staff #2 had documentation of 12 hours of training for the 2018 -2019 training year.These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
1- Immediate plan of action took place on Thursday September 26, 2019 with Staff #2 scheduled training beginning October 2019 and will complete required the 25 credit hours for the 2019-2020 training year.
2- The Project Director will be responsible to conduct monthly meetings with Staff #2 to follow up and ensure compliance is being met as well as reviewing and retaining the training certificates.
3- The completion of all required training will be achieved by the end of the fiscal year June 30, 2020.
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709.29 (a) LICENSURE Retention of client records
§ 709.29. Retention of client records.
(a) Client records, regardless of format, shall be readily accessible for a minimum of 4 years following the discharge of a client.
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Observations
The facility failed to have client records readily accessible for a minimum of 4 years.During the onsite inspection, the licensing specialist requested to review older client records. The project/facility director reported the older records are in storage and they are not able to be accessed.These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
1-Immediate plan of action took place on Wednesday September 25, 2019 with the keys to the storage closet placed in a double locked cabinet where key office personnel have access.
2-The Project Director will be responsible to monitor the security and accessibility of the keys with the end of each closing day.
3-The timeframe to place the plan of action took place immediately the following day of the site visit. |