INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on May 22, 2017 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Abstinent Living at the Turning Point at Washington, 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:
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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 ensure that counselors completed at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training within the first year of employment in one of one personnel records reviewed on May 22, 2017.
Employee # 2 was hired as a counselor on November 2, 2015. Training was to be completed by November 2, 2016. The training was not completed until April 10, 2017.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Operations Manager confirms that Employee # 2 did not have the required TB/STD training within the first year of employment. The requirement for this training within the first year has been reviewed with all applicable staff. Employee # 2 did secure the training on 4/10/17. The Operations Manager and Business Manager will ensure that any future counselor staff will secure the required training within the first year of employment. This will be overseen by the Project Director. |
709.33 (a) LICENSURE Notification of termination.
§ 709.33. Notification of termination.
(a) Project staff shall notify the client, in writing, of a decision to involuntarily terminate the client ' s treatment at the project. The notice shall include the reason for termination.
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Observations
The facility failed to document that it notified the client, in writing, of a decision to involuntarily terminate the client's treatment at the project in one of one client records reviewed on May 22, 2017.
Client # 1 was involuntarily terminated on May 6, 2017. There was no documentation provided that the client was notified, in writing, of the decision to involuntarily terminate.
These finding were reviewed with facility staff during the licensing process.
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Plan of Correction
The Operations Manager confirms that Client # 1 was verbally told that she was being discharged. Client # 1 then left the premises, and did not sign the discharge paperwork. The Operations Manager confirms that no letter was sent to Client # 1's last known address confirming her discharge. The Operations Manager confirms that all clients who are involuntarily discharged will be notified in writing of said discharge. The Operations Manager confirms that this requirement has been communicated to all applicable staff. The Operations Manager will ensure that this is completed with any involuntary discharges. This will be overseen by the Project Director and Operations Manager. |