CENTRAL CALIFORNIA RECOVERY, INC.

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Contact Information
Licensee Name
CENTRAL CALIFORNIA RECOVERY, INC.
1100 WEST SHAW AVENUE, SUITE 130, FRESNO, CA 93711-3708
Facility Name
Identification Number
100087AN
Reviews & Findings
Dates of Review
21-Sep-16
Type of Review
CERTIFICATION COMPLIANCE REVIEW
Deficiencies

1) Section 12070(b)(4)(C) Recovery or Treatment Planning

The above section states, in part,
(b) The process for participant recovery or treatment plans shall be the following:
(4) If a treatment plan is developed:
(C) Staff and the participant shall review and update the treatment plan when a change in problem identification or focus of recovery or treatment occurs, or no later than 90 days after signing the initial treatment plan and no later than every 90 days thereafter, whichever comes first.

The provider was deficient in meeting the above standard because the following items were missing from the participant’s file:
(1) Updated treatment plan due by
(2) Updated treatment plan due by
(3) Updated treatment plan due by

2) Section 13000(d)(3)(A) Individual and Group Sessions

The above section states, in part,

(d) “The counselor/program specialist shall document, by signing their name and putting the date on the following information for participant’s attendance at individual and group sessions. This documentation shall be placed in the participant’s file.”
(3) Progress toward achieving the participant’s recovery or treatment plan goals
(A) Nonresidential programs shall each participant’s progress for each individual or group session attended.

3) Section 17020(a)(5) Continuous Quality Management

The above section states, in part,
(a) Continuity of Activities

The program shall provide for a staff person (or persons) to monitor and assure that the following activities take place:
(5) The recovery or treatment plan is reviewed by the participant and updated as necessary at least every 90 days.

The provider was deficient in meeting the above standard because: Refer to Deficiency #1.

Deficiencies 2

4) Section 19005(b)(1-7) Personnel Policies

The above section states, in part, The program shall maintain personnel files for all employees. Each personnel fife shall contain: *Employee evaluations
* Health records including a health screening report or health questionnaire
* tuberculosis test results as required

The provider was deficient in meeting the above standard because the following items were missing from the employee’s file:

(5) current employee evaluations for employee number’s #7, #8, and #9.
(6) a complete health questionnaire for employee number’s #4, #9, and #10.
(6) tuberculosis test results for employee number
(Note: test conducted however the results of said test were not documented).

5) Section 19015(a)(2) Health Screening and Tuberculosis Requirements

The above section states, in part,
(a) All staff and volunteers whose functions require or necessitate contact with participants or food preparation shall complete a health screening report or a health questionnaire.

(2) If the program uses a health questionnaire, the questionnaire shall contain, at a minimum, the information requested in ADP 10100-A-E. The health questionnaire shall be completed, signed, and placed In the staff or volunteer file.’

The provider was deficient in meeting the above standard because the health questionnaire utilized by the program was not completed by employee numbers #4, #9, and #10: