Observations
Based on a review of personnel records and an interview with the supervisor, the facility failed to document annual performance evaluations as required by agency policy and regulation in three of five personnel records.
The findings include:
Eight personnel records were reviewed on April 5, 2011 Three personnel records were required to include documentation of annual performance evaluations. Per agency policy, performance evaluations are conducted at six months and annually thereafter. There were no annual performance evaluations documented in personnel records #1, and 2.
Employee #1- An annual work performance evaluation was due in October 2010, and was not documented as of April 5, 2011.
Employee #2- An annual work performance evaluation was due in June 2010, and was not documented as of April 5, 2011.
This was discussed with the supervisor on April 5, 2011. The supervisor confirmed that the work performance evaluations were not completed.
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Plan of Correction
The program director will work with personnel to create a process to insure that performance evaluations are completed within 30 days of the employees anniversary date. This process will be implemented within 15 days. The program director will oversee this process and check to see that evaluations are completed on time. |