DUNAMIS, INC. GROUP HOME

Published
0.000
Contact Information
Licensee Name
DUNAMIS, INC. GROUP HOME
4991 EAST McKINLEY AVENUE, SUITES 112 and 113, FRESNO, CA 93727
Facility Name
Identification Number
100091AN
Reviews & Findings
Dates of Review
9-Aug-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 there were five treatment plan updates that were not dated by the primary counselor, thus making it impossible to determine if the updated treatment plan was developed within the 90-day time frame.

2) Section 17015(d)(2) Participant Files

The above section states, in part,
(d) Other requirements
(2) All entries shall be signed and dated

Th e provider was deficient in meeting the above standard because five treatment plans and progress notes were not signed and/or dated by the primary counselor.

3) Section 17020(a)(1) Continuous Quality Management

The above section states, in part,

(a) Continuity of Activities
(1) A recovery or treatment plan is developed within the time frame specified in Section 120_70 b .3.A. or Section 12070 b.4.A. of these Standards.

The provider was deficient in meeting the above standard because the initial treatment plan was not dated by the primary counselor, client number.

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

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

5) Section 19005(b)(3) Personnel Policies

The above section states,
(b) The program shall maintain personnel files on all employees. Each personnel file shall contain: job description.

The provider was deficient in meeting the above standard because there was no job description in the personnel file for employee number #1.

Deficiencies 2

6) Section 19005(b)(5) Personnel Policies

The above section states,
(b) The program shall maintain personnel files on all employees. Each personnel file shall contain: employee evaluations

The provider was deficient in meeting the above standard because there was no current employee evaluation in the personnel file for employee numbers #1, #2, #4 and #5.

7) Section 19005(b)(6) Personnel Policies

The above section states,
(b) The program shall maintain personnel files on all employees. Each personnel file shall contain:
(6) Health records including a health screening report or health questionnaire, and tuberculosis test results as required.

The provider was deficient in meeting the above standard because there was not a health screening or questionnaire or current tuberculosis test results in the personnel file for employee numbers

8) Section 19005(f) Personnel Policies

The above section states,
(f) The program shall develop and revise, as needed, job descriptions for each employee and volunteer. The governing body or designee shall approve the Job descriptions . The job descriptions shall include:
(1) Position title and classification;
(2) Duties and responsibilities;
(3) Lines of supervision; and
(4) Education, training, work experience and other qualifications for the position.11

The provider was deficient in meeting the above standard because: Refer to Deficiency #5.

9) 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 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 becauseā€¢ there was no health screening report or health questionnaire in the personnel file for employee #’s 1 and #3.

10) Section 19015(b)(1) Health Screening and Tuberculosis Requirements

The above section states, in part,
(b) All staff and volunteers whose functions require or necessitate contact with participants or food preparation shall complete a health screening report or health questionnaire.
(1) The tuberculosis test shall be conducted under licensed medical supervision not more than three months prior to or seven days after employment and renewed annually from the date of the last tuberculosis test.”

The provider was deficient in meeting the above standard because there were no current tuberculosis test results in the personnel file for employee number’s