Observations
Based on a review of personnel records and an interview with the clinical supervisor, the facility failed to provide documentation of HIV/AIDS training in one of four personnel records.The findings include:Six personnel records were reviewed on September 22, 2009. Four personnel records were required to have documentation of HIV/AIDS training. The facility did not provide documentation of the required HIV/AIDS training in personnel record # 6.Employee # 6 is a counselor and was hired February 14, 2008. HIV/AIDS training was due to be completed no later than February 14, 2009. The facility failed to provide documentation of HIV/AIDS training. The clinical supervisor confirmed that the facility did not have documentation of HIV/AIDS training for employee # 6.
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Plan of Correction
A staff member has not completed the required HIV/AIDS training within the stipulated time frame.
The clinical supervisor will schedule the counselor for training as it becomes available.
The counselor will attend the training and provide the certificate for inclusion in the HR training file. The counselor will also complete an evaluation form to be added to the file.
The clinical supervisor is responsible for compliance and oversite in the completion of this requirement.
The HR Director has developed a data base to oversee and track the completion of all required trainings. Going forward, the Director will communicate with the clinical supervisor regarding time frames for required training and will oversee compliance. |