Observations
Based on a review of training/personnel records, the facility failed to document a counselor received a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum within the first year of employment in one of one record.
Employee # 2 was hired as a counselor on September 17, 2021. HIV/AIDS and TB/STD training was due to be completed by September 17, 2022. At the time of the inspection, neither trainings were completed.
The findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Going forward all required HIV/AIDS and TB/STD training will take place in house in order to make sure training is taken in a timely manner. All clinical staff shall be trained in HIV/AIDS and TB/STD before 1 year of employment. All nonclinical staff shall be trained in HIV/AIDS and TB/STD before 2 years of employment. All new staff shall be scheduled for their in house training upon hire date during the orientation process. This training will be done by Project Director. This shall be monitored by Project Director. Project Director shall schedule the required training with staff upon new hire. Project Director will follow up with staff to ensure they complete the training. Human resources shall send out a reminder to Project Director at 90 days, 6 months and 9 months to ensure that the training gets completed. Employee #2 is scheduled for training on Monday,10/24/22. All other new hire staff shall also be trained on this day to make sure every new staff is in compliance. |