Observations
Based on a review of personnel training records and an interview with the facility director, the facility failed to provide documentation of HIV/AIDS training in one of four personnel training records, as required by regulation.
The findings include:
Four personnel training records requiring documentation of the mandatory six hours of training for HIV/AIDS were reviewed on August 3,2010. The facility did not provide documentation of HIV/AIDS training in personnel training record # 4.
Employee # 4, a clinical staff person, was hired July 2, 2009. HIV/AIDS training was due to be completed no later than July 2, 2010. The facility failed to provide documentation of HIV/AIDS training at the time of inspection.
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Plan of Correction
Facility Director, along with Clinical Director will schedule personnel employee #4 for 6 hours of required HIV/AIDS training. This training will be scheduled the next available open training date, which will not exceed 30 days from time of correction report.
Facility Director will ensure that all required training be completed in mandated timeframes for the training year 2010-2011. |