Rickman Recovery Centers

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Published
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Contact Information
Licensee Name
Norman L. Rickman
1433 E Route 66, Suite F, Glendora, CA 91740
Facility Name
Identification Number
190062BP
Reviews & Findings
Dates of Review
26-May-16
Type of Review
CERTIFICATION COMPLIANCE REVIEW
Deficiencies

1) Section 12085 Discharge Summary

The above section states, in part, “Each program shall have written procedures regarding participant discharge.”

The provider was deficient in meeting the above standard because the operations manual did not include information regarding participant discharge.

2) Section 12085(a)(1) Discharge Summary

The above section $fates, in part, “Each program shall have written procedures for participant discharge. These procedures shall contain: a) Written criteria for discharge defining and 1) Successful completion of program.”

The provider was deficient in meeting the above standard because the operations manual did not include written criteria defining successful completion of the program.

3) Section 12085(a)(2) Discharge Summary

The above section states, in part, “Each program shall have written procedures for participant discharge. These procedures shall contain a) Written criteria for discharge defining and 2) Unsuccessful discharge.

The provider was deficient in meeting the above standard because the operations manual did not include written criteria defining unsuccessful discharge.

4) Section 12085(a)(3) Discharge Summary

The above section states, in part, “Each program shall have written procedures for participant discharge. These procedures shall contain: a) Written criteria for discharge defining and 3) Involuntary discharge.”

The provider was deficient in meeting the above standard because the operations manual did not include written criteria defining involuntary discharge.

5) Section 12085(a)(4) Discharge Summary

The above section states, in part, “Each program shall have written procedures for participant discharge. These procedures shall contain: a) Written criteria for discharge defining and 4) Transfers and referrals.”

The provider was deficient in meeting the above standard because the operations manual did not include written criteria defining transfers or referrals at discharge.

6) Section 17010(e) Program Policies

The above section states, in part, All program policies and procedures shall be contained in an operation manual that is located at each certified site and that shall be available to staff and volunteers.

The manual shall contain: Policies and procedures for:
* Discharge
* Personnel practices
* Continuous quality management
* Maintenance and disposal of participant files

The provider was deficient in meeting the above standard because the operations manual did not include written detailed information regarding participant discharge, personnel practices, continuous quality management, and the maintenance and disposal of participant files when a program closes.

7) Section 17015(e)(1) Participant Files

The above section states, in part, “e) Disposal and maintenance of participant files 1) Closed programs.”

The provider was deficient in meeting the above standard because the operations manual did not include a written policy regarding the maintenance and disposal of participant files when a program closes.

8) Section 17020 Continuous Quality Management

The above section states, 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 provider was deficient in meeting the above standard because the operations manual did not include written procedures for continuous quality management as specified in section 17020.a.1. through c.3. and there was no supporting documentation indicating that participant files are reviewed for compliance with the required procedures.

9) Section .18015 Community Advisory Board

The above section states, in part, “An alcohol and/or other drug program community advisory board shall be required for all alcohol and/or other drug programs including government operated and proprietary programs the community advisory board shall consist of at least five members. The community advisory board shall meet at least quarterly to review operations reports and the effectiveness of services provided to participants. The community advisory board shall advise the program director on policies and goals of the alcohol and/or other drug program and on any other matters. The community advisory board shall be governed by bylaws.”

The provider was deficient in meeting the above standard because there was no supporting documentation indicating that a Community Advisory Board had been established.

10) Section 19010(b) Code of Conduct

The above section states, “b) The code of conduct shall include the program policies regarding at a minimum the following: 1) Use of alcohol and/or other drugs on the premises and when off the premises; 2) Personal relationships with participants; 3) Prohibition of sexual contact with participants; 4) Sexual harassment; 5) Unlawful discrimination; 6) Conflict of interest; and 7) Confidentiality.”

The provider was deficient in meeting the above standard because the code of conduct used did not include all of the program’s policies as stated in 19010.b.1. through b.7.

Note: All program staff and volunteers will need to sign the revised code of conduct and a copy be placed in their files.

Note: The revised code of conduct will need to be posted.