Observations
The facility failed to ensure counselors received the HIV/AIDS and STD/TB training within the first year of employment in three of five personnel records.
Twenty one personnel records were reviewed on October 29-30, 2019. Five required completion of the HIV/AIDS and STD/TB training. Personnel records # 11 , 12 and 13 did not document the training within the required timeframes.
Employee # 11 was hired as a counselor on April 16, 2018. Trainings were to be completed by April 16, 2019. There was no documentation of the HIV/AIDS training. The STD/TB training was completed on September 18, 2019.
Employee # 12 was hired as a counselor on February 19, 2018. Trainings were to be completed by February 19, 2019. The HIV/AIDS training was completed on September 4, 2019. The STD/TB training was completed on September 18, 2019.
Employee # 13 was hired as a counselor on May 29, 2018. Trainings were to be completed by May 29, 2019. The HIV/AIDS training was completed on September 4, 2019. The STD/TB training was completed on September 18, 2019.
These findings were reviewed with facility staff during the licensing inspection.
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Plan of Correction
Summit Academy employees have now received both HIV/AIDS and STD/TB training. Employee #11 had HIV/AIDS training on 10/24/2019 and STD/TB training on 9/18/2019, Employee #12 had HIV/AIDS training on 9/4/2019 and STD/TB training on 9/18/2019, and Employee #13 had HIV/AIDS training on 9/4/2019 and STD/TB training on 9/18/2019. Going forward the Clinical Coordinator will receive monthly updates from the HR Coordinator. This monthly update will indicate the names of the staff who will need training and their date of hire. The Clinical Coordinator will be responsible for scheduling the training through the DDAP training system in order to ensure staff receive the training within the appropriate time frames. This facility will be in full compliance within 30 days. |