Observations
Based on the review of personnel records and an interview with the project director, the facility failed to document at least 12 clock hours of training annually for each project director in one of one records.
The findings include:
Four personnel records were reviewed on June 25, 2010. Of the four records reviewed, one was identified as the project director and required at least 12 clock hours of training for the 2009 training year. The facility did not document at least 12 hours of training for personnel # 1.
Personnel record #1 contained 0 hours of training for the 2009 training year.
An interview with the project director was conducted on June 25, 2010. The project director confirmed that he did not have at least 12 hours of training for the 2009 training year.
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Plan of Correction
Project director has been counselled on the requirement to obtain 12 clock hours of training annually.
Project Director has submitted as of this date to Compliance Officer his plan for Continued Education for the current year.
Compliance Officer will continue to monitor to insure that requirements are met. |