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32 | It is alleged that facility does not have medical assessments on file for clients in care, facility does not have signed admission agreements for clients in care, and facility does not have needs and service plans for clients in care. Record review for 3 of 3 clients in question revealed the following: a completed, signed and dated admissions agreement on file, a current medical assessment dated and signed by clients, and an initial treatment plan (needs and services plan) for all 3 clients.
It is alleged that direct care staff do not meet the minimum employment qualifications, specifically to 6 of 6 care staff not working in a program serving persons with mental disabilities or a documented plan of supervision. Record review revealed the following: staff S1 did not have the work experience however they were enrolled in a plan of supervision, staff S2 work experience reflected that they worked in the field of behavioral health, staff S3 has credentials for substance use disorder registered counselor, certification of alcohol and drug, work experience case manager for co occurring disorders, crisis intervention, acute distress, and volunteer sober living programs, staff S4 work experience with wellness detox and treatment programs, SUD programs, client care coordinator, and detox specialist, staff S5 personal care assistant in mental health, and special needs population, and staff S6 work experience in behavioral health, detox center intake and treatment center.
Based on the information mentioned above, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed Unsubstantiated.
An exit interview was conducted with Executive Director and a copy of this LIC9099 report was left at facility. |