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1975 BABCOCK RD

SAN ANTONIO, TX null

CONTRACTED SERVICES

Tag No.: A0083

Based on a review of documentation, the governing body was not responsible for services furnished in the hospital.

Findings were:

A review of the census for 9-21-11 and 9-22-11 revealed a total of 21 patients in the child/adolescent unit for each date.

Per the facility staffing grid, minimum staffing requirements for 21 child/adolescent patients on the 11p-7a shift are as follows:

? 1 Registered Nurse
? 1 Licensed Vocational Nurse
? 2 Mental Health Technicians

A review of the staffing sheet for the child/adolescent unit for the 11p-7a shift on 9-21-11 revealed only one mental health technician (as opposed to two).

Per the facility staffing grid, minimum staffing requirements for 21 child/adolescent patients on the 7a-3p shift are as follows:

? 2 Registered Nurses
? 1 Licensed Vocational Nurse
? 2 Mental Health Technicians

A review of the staffing sheet for the child/adolescent unit for the 7a-3p shift on 9-22-11 revealed only one registered nurse (as opposed to two).

The above was discussed in an interview with the Vice-President of Intake as well as the Vice-President of Behavioral Health on the afternoon of 1-10-12 in the facility conference room.