Observations
Based on a review of personnel training records and the Staffing Requirements Facility Summary Report form, the facility failed to provide documentation of communicable disease training in one of one personnel training records.The findings include:Five personnel training records and the Staffing Requirements Facility Summary Report form were reviewed on May 1, 2012. One personnel training record was reviewed for documentation of communicable disease training. The facility failed to provide documentation of HIV/AIDS and TB/STD training in personnel training record # 3.Employee # 3 is a counselor and was hired on September 20, 2010 for the position of counselor assistant. HIV/AIDS and TB/STD training was due to be completed no later than September 20, 2011. The facility failed to provide documentation of HIV/AIDS and TB/STD training for employee # 3.The Operations Manager was interviewed throughout the licensing inspection and confirmed the findings.
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Plan of Correction
The project director and office supervisor will ensure that all counselors/counselor assistants complete the communicable disease training within one year of their hire date. Employee # 3 will complete the required training by September 30, 2012. The office supervisor will ensure this does not recur by reviewing the staff training records on a quarterly basis.
This will be monitored and supervised by the Office Supervisor and the Project Director. |