INITIAL COMMENTS
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This report is a result of an on-site licensure renewal inspection conducted on August 23, 2013 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Cen-Clear Child Services, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
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Plan of Correction
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704.11(c)(1) LICENSURE Mandatory Communicable Disease Training
704.11. Staff development program.
(c) General training requirements.
(1) Staff persons and volunteers shall receive 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. Counselors and counselor assistants shall complete the training within the first year of employment. All other staff shall complete the training within the first 2 years of employment.
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Observations
Based on a review of personnel and training records, the facility failed to provide documentation of TB/STD training in one of one applicable record reviewed.
The findings include:
One personnel record which required documentation of TB/STD and HIV/AIDS was reviewed on August 21, 2013.
Employee #4 was hired as a counselor on 3/19/12. This employee was required to obtain four hours of TB/STD training by 3/19/12. Employee # 4 failed to obtain the training as of the date of the inspection.
The Project Director and Facility Director confirmed the findings.
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Plan of Correction
The Facility Director obtained the approved training cirriculum to conduct in house trainings. The Facility Director will be responsible for a training that has been scheduled for October 9, 2013 which will meet the requirements for the TB/STD and HIV/AIDS trainings for new hires as well as the identified staff person that did not receive it this past review. |