INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on September 18-20, 2023 by staff from the Department of Drug and Alcohol Programs, Bureau of Program Licensure. Based on the findings of the on-site inspection, Gaudenzia, 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(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
Based on a review of personnel records, the facility failed to ensure that each counselor completed at least 25 clock hours of training annually in one of one applicable records.
Staff #3 was hired on March 8, 2008 and still a current employee at the time of the inspection. Staff #3 only received 7 clock hours of annual training from January 2022 through December 2022.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Citation was reviewed with Clinician in individual supervision. To date, Clinician has met the required hours for this calendar year.
Clinical Supervisor developed a spreadsheet from the agency's Relias training site and will review progress towards training in individual supervision monthly.
Division Director will run quarterly training reports from Relias to monitor progress toward training hours and review with staff to ensure all required training hours are completed. |