INYO COUNTY

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Published
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Contact Information
Licensee Name
INYO COUNTY HEALTH AND HUMAN SERVICES
162Grove Street, Bishop, CA 93514
Facility Name
Identification Number
140002AN
Reviews & Findings
Dates of Review
1-Mar-16
Type of Review
CERTIFICATION COMPLIANCE REVIEW
Deficiencies

1) Section 12070(a)(4) Recovery or Treatment Planning

The above section states, in part,
(a) The recovery or treatment plan shall include the following:
(4) Target date(s) for accomplishment of action steps and objectives.

The provider was deficient in meeting the above standard because the updated treatment plans, dated did not include target dates for the accomplishment of objectives and action steps for the problems identified, participant number.

2) Section 12070(b)(4)(A)(3) 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:
(A) Staff shall develop the Initial treatment plan with input from the participant in accordance with the time frame below:
(3) For nonresidential programs the treatment plan shall be developed within 30 days from the date of the participant’s admission.

The provider was deficient in meeting the above standard because the updated treatment, dated by the counselor, was not countersigned or dated by the participant. Treatment plans shall be developed with input from the participant, participant number.

3) Section 12080 Continuing Recovery or Treatment Exit Plan

The above section states, “Before active program participant is concluded and prior to program approved discharge, program staff shall meet with each participant to develop and document an individualized strategy that will assist the participant in maintaining a continued alcohol and drug free lifestyle. The continuing recovery or treatment exit planning process shall be inclusive of the goals identified in the recovery or treatment plan and shall include referrals to appropriate resources (e.g., social services, Medi-Cal and vocational rehabilitation, other others).”

The provider was deficient in meeting the above standard because the discharge summary did not document the participant’s exit plan• once program completion had occurred, participant number.

4) Section 12085(b)(2) Discharge Summary

The above section states, in part,
(b) A discharge summary that includes:
(2) Current alcohol and/or other drug usage

The provider was deficient in meeting the above standard because the current substance usage was not captured on the discharge summary, participant numbers.

5) Section 1 085(b)(3) Discharge Summary

The above section states, in part,
(b) discharge summary that Includes:
(3) Vocational and.educational achievements.

The provider was deficient in meeting the above standard because the current discharge summary does not capture the participant’s vocational and educational achievements.

6) Section 12085(b)(6) Discharge Summary

The above section states, in part,
(b) A discharge summary that includes
(3) Participant’s continuing recovery or treatment exit plan

The provider was deficient in meeting the above standard because there was no exit plan in the file for participant number

7) 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.”

The provider was deficient in meeting the above standard because the personnel file did not contain a health screening report or health questionnaire for employees #2 and #3.

8) Section 19015(b)(1) 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 be tested for tuberculosis.”

The provider was deficient in meeting the above standard because the personnel file did not contain current tuberculosis test results for employees