Observations
Based on a review of personnel and training records, the facility failed to ensure that staff persons and/or volunteers received a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum, as per the regulatory requirements, in one of twelve personnel records reviewed.
The findings include:
Twelve records were reviewed on 5/29/14 for documentation verifying the completion of the mandatory HIV/AIDs and TB/STD training's. One out of twelve records lacked documentation that the trainings were completed as per the regulatory requirements.
Employee # 2 was hired on 6/6/11 as a support staff person. Employee # 2 was required to obtain 6 hours of HIV/AIDS training by 6/6/13. The training was not documented as of the date of the inspection.
The findings were confirmed by the Facility Director.
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Plan of Correction
The 6 hour HIV/AIDS training is scheduled at TW Ponessa for July 11, 2014 and will be conducted by the D&A Director. The appropriate staff will be in attendance, including the staff member whose record was reviewed during the licensing visit. Moving forward, HIV/AIDS training will be scheduled periodically as needed at TW Ponessa and conducted by the D&A Director or the Clinical Supervisor in order to ensure compliance with this regulation. |