Observations
Based on a review of the Staffing Requirements Facility Summary Report form completed by the facility on August 15, 2014 and an interview with the facility director. The facility failed to ensure that staff caseloads remained at or under 35:1.
The findings include:
The Staffing Requirements Facility Summary Report form completed by the facility was reviewed on December 19, 2014 during a supervisory review. The form listed eight counselors and a clinical supervisor, as clinical staff . The facility's standard work week, as reported by the facility on the Staffing Requirements Facility Summary Report form was 40 hours per week. However, the facility caseloads are calculated using 35 hours per week.
Based on the total number of hours per week that employee # 4 devoted to clients and the standard work week of 35 hours, employee # 4 exceeded the allowable maximum 35:1 caseload.
The actual client caseload is determined by dividing the Full Time Equivalent (FTE) into the actual number of clients. The FTE is determined by dividing the number of hours devoted to the clients treatment by the 35 hour standard work week.
The number of hours per week devoted by Employee # 4 to client treatment, as reported by the facility on the Staffing Requirements Facility Summary Report was 16 hours per week. The facility reported on the Staffing Requirements Facility Summary Report form that Employee #4 had 17 active clients on August 15, 2014.
Employee # 4 (16/35) = .457 FTE 17 clients/.457 FTE = 37:1 caseload
The findings were discussed with the facility director.
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Plan of Correction
Effective September 1, 2014, employee number 4 has maintained a caseload of fifteen patients or less. Continued compliance with this standard will be monitored by the Clinical Supervisor, who will review weekly with all clinicians their current caseloads to ensure ongoing compliance with this standard. |