Observations Based on a review of administrative documentation, it was determined that the facility failed to provide a sufficient number of staff persons, so that at least one person trained in CPR certification and first aid is onsite during the project's hours of operation.
The findings include:
Four personnel records were reviewed on October 22, 2014. Employee #4 was the only employee that was trained in CPR certification and first aid.
The facility is open Monday from 7:30 AM to 7:00 PM; Tuesday and Wednesday from 7:30 AM to 3:30 PM; Thursday from 7:30 AM to 9:00 PM; and Friday from 7:30 AM to 3:30 PM. One employee is not sufficient to provide CPR coverage for these hours of operation.
The facility failed to ensure that a sufficient number of staff persons were trained in CPR.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction All staff, including Clinical Supervisor, Primary Counselor, Teacher and Instructional Assitant will be CPR/First Aid Certified at all times. In the event of staff turnover, the new hire will be certified within 90 days of employment. This will ensure the 75% of staff are certified at all times. Both the Facilities director and Clinical Supervisor are responsible to ensure implementation.
The Clinical Supervisor and Teacher recieved their certification on Dec 4, 2014.
Prior to the recent certifications, The certified staff member was scheduled to work during program hours. In the event she was unexpectedly absent the plan was
to utilize the IU Sub finder system to for a certified staff memeber. In addition the IU has a program 2 stroe fronts away that has 10 certified staff that would respond immediately. |