Fred Brown’s Recovery Services

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Published
0.000
Contact Information
Licensee Name
Fred Brown's Recovery Services, Inc.
278 West 14• Street, San Pedro, CA 90731
Facility Name
Identification Number
190135IN
Reviews & Findings
Dates of Review
23-Aug-16
Type of Review
CERTIFICATION COMPLIANCE REVIEW
Deficiencies

2) Section 17020(a)(2-7) Continuous Quality Management

The above section slates, in part, “Each program shall maintain written policies and procedures for continuous quality management and shall document in participant file compliance with the procedures. The procedures shall include the following (a) Continuity of Activities. The program shall provide for a staff person (or persons) to monitor and assure that the following activities take place. (2) The services required are provided and documented in the participant’s file; (3) Failure of the participant to keep scheduled appointments is discussed with the participant and other action taken as appropriate and the discussion and action documented in the participant’s file; (4) Progress in achieving the objectives identified in the recovery or treatment plan is assessed and documented within the timeframe specified in Section 12070 b. 3.8. or Section 12070 b.4.B. of these Standards;
(5) The recovery or treatment plan is reviewed by the participant and updated as necessary at least every 90 days;
(6) The participant’s file contains all required documents identified in Section 17015; and (7) If feasible, the participant is followed-up after completion of program services as scheduled in the discharge summary.”

The provider was deficient in meeting this standard because there were no written policies and procedures covering the following:

(a) Continuity of Activities. The program shall provide for a staff person (or persons) to monitor and assure that the following activities take place:
(2) The services required are provided and documented in the participant’s file.
(3) Failure of the participant to keep scheduled appointments is discussed with the participant and other action taken as appropriate and the discussion and action documented in the participant’s file.
(4) Progress in achieving the objectives identified in the recovery or treatment plan is assessed and documented within the timeframe specified in Section 12070 b. 3.B. or Section 12070 b.4.B. of these Standards.
(5) The recovery or treatment plan is reviewed by the participant and updated as necessary at least every 90 days.
(6) The participant’s file contains all required documents identified in Section 17015; and
(7) If feasible, the participant is followed-up after completion of program services as scheduled in the discharge summary.

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

The above section states, in part, “The program shall maintain personnel files on all employees. Each personnel fife shall contain (5) Employee evaluations.”

The provider was deficient in meeting this standard because the personnel files for employees numbered and contain outdated evaluations.

**This deficiency was cleared on site. **

4) Section 24000 Confidentiality

The above section states, in part, “A written statement regarding confidentiality when answering the telephone and confidentiality regarding files shall be included in the program’s operations manual. Participant files shall be accessible only to authorized personnel.”

The provider was deficient in meeting above standard because there was no written statement regarding confidentiality when answering the telephone in the program’s operation manual.