Tahoe Turning Point

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Published
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Contact Information
Licensee Name
TAHOE TURNING POINT
2494 LakeTahoeBoulevard,Suite B1, 82, 85, and B7, SouthLake Tahoe, CA 96150-7142
Facility Name
Identification Number
0900140N
Reviews & Findings
Dates of Review
13-Apr-06
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 an updated treatment plan was due or the client should have been discharged in for lack of attendance participant.

2) Section 12070(b)(5) Recovery or Treatment Planning

The above section states, in part,
(b) The process for participant recovery or treatment plans shall be the following:
(5) The initial recovery or treatment plan and any update shall be signed and dated by the participant and staff at the time
the recovery or treatment plan is developed or updated.

The provider was deficient in meeting the above standard because the initial treatment plan was dated by the staff member and counter-dated by the participant on the updated treatment plan was dated by the staff member and counter-dated by the participant on
participant.

3) Section 12080 Continuing Recovery or Treatment Exit Plan

The above section states, ”Before active program participation 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, and others.”

The provider was deficient in meeting the above standard because the program does not complete a participant exit plan. Discharge summaries are being completed; however the participant’s exit plan is inconsistent. Note: Begin exit planning with each participant during treatment planning.

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

The above section states, in part,
(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 tuber all entries shall be signed and
dated.

The provider was deficient in meeting the above standard because the personnel file did not contain a current test for tuberculosis for employee number.

5) 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 be
tested for tuberculosis.
(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: Refer to deficiency #4.

6) Section 21000(e) Admission Agreement

The above section states, in part, “The program shall have a written admission agreement that shall be signed and dated by the participant and program staff upon admission. The program shall place the original signed admission agreement in the participant’s file and a copy shall be given to the participant. The admission agreement shall inform the participants of the following:
(e) Participants’ grievance procedure.

The provider was deficient in meeting the above standard because the grievance procedure did not include the participant’s ability to contact the Department of Health Care Services for further action if not satisfied.