Observations
Based on the review of personnel records, the facility failed to ensure that staff 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 within the required timeframe in four of four records.
Employee # 7 was hired as a counselor on May 28, 2019. The training was due to be completed by May 28, 2020 There was no documentation the trainings had been completed.
Employee # 9 was hired as a counselor on March 25, 2020. The training was due to be completed by March 25, 2021. There was no documentation the trainings had been completed.
Employee # 10 was hired as a counselor on May 1, 2020. The training was due to be completed by May 1, 2021. There was no documentation the trainings had been completed.
Employee #11 was hired as a counselor on April 21, 2020. The training was due to be completed by April 21, 2021. There was no documentation the trainings had been completed.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Summit Academy will continue to monitor for DDAP approved virtual trainings on HIV/AIDS and tuberculosis, sexually transmitted diseases and other health related topics in order to have employees participate within the required timeframes. In the event no virtual trainings are available within the counselor or counselor assistant's initial year of employment, Summit Academy will utilize in-house medical personnel to complete this training with DDAP approved curriculum. Summit Academy anticipates having all staff who are currently past their required timeframes complete these trainings by January 15, 2022. |