INITIAL COMMENTS
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This report is a result of a supervisory review of the written report of the findings of an on-site licensure inspection that was conducted on March 8, 2016, by staff from the Division of Drug and Alcohol Program Licensure. Based on the supervisory review of findings from the on-site inspection, White Deer Run Inc. - Lancaster, 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 supervisory review:
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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
The facility failed to ensure that counseling staff completed the 4 hours of tuberculosis, sexually transmitted diseases training within the first year of employment.
Employee #5 was hired as a counselor on September 8, 2014 and did not complete the required training by the date of the licensing inspection.
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Plan of Correction
Compliance will be monitored during required supervisions sessions with all new clinical staff by Clinical Supervisor to ensure mandated training is completed within the first year of employment with the facility.
Clinical Supervisor has signed counselor up for the next available 4 hour tuberculosis, sexually transmitted disease training on 7/20/16 and submited verification of registration to Program Director.
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