Observations
Based on a review of staff records, the facility failed to document that staff had completed HIV/AIDS and TB/STD training within the required timeframe in one of five staff records.Staff #4 was hired as a counselor on January 3, 2022. The HIV/AIDS and TB/STD trainings were to be completed by January 3, 2023. The documentation in the staff record indicated that the HIV/AIDS training was completed on June 26, 2023. The TB/STD training had not been completed at the time of the inspection. This finding was reviewed with facility staff during the licensing inspection.
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Plan of Correction
As of July 11,2023 the facility director and lead counselor will ensure that FCDAC is in compliance with 704.11. Staff development program. (c) General training requirements. The above mentioned staff has developed a checklist of mandatory trainings. This checklist will be used for all new staff hired as part of their annual training plan to ensure compliance. The facility director and lead counselor also reviewed the training binders of all current staff to ensure compliance. On Monday July 17, 2023, Staff #4 that was out of compliance completed the mandatory 4 hour TB/STD training. Record of his attendance and completion has been placed in his training binder. |