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 ensure the project and facility director met the qualifications of the position at the time of hire in one of one applicable personnel records reviewed.
Staff #1 was hired as Chief Financial Officer on March 17, 2015 and transitioned to Project and Facility Director on June 11, 2024. Staff #1 did not meet the experience requirements to be the Project and Facility Director.
This finding was reviewed with facility staff during the licensing inspection.
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Plan of Correction
The Personnel Committee of the Board of Directors will review all qualifications of the Project and Facility Director when hiring for the position. Specifically, the regulations will be reviewed along with the individual's resume, degree earned, years of experience to include supervision of others, direct service and program planning. In the event that there is any uncertainty as to whether the individual meets all qualifications, DDAP Licensing will be contacted to request a review of the documents. |