Observations
Based on a review of personnel records, the facility failed to ensure all staff persons received a minimum of 6 hours of HIV/AIDS training and at least 4 hours of TB/STD and other health-related topics training within the regulatory timeframe in two of two applicable personnel records reviewed.
Employee # 3 was hired as a counselor on June 5, 2023 and was due to have the HIV/AIDS training and the TB/STD training completed no later than June 5, 2024. There was documentation the HIV/AIDS training was completed; however, there was no documentation indicating at least 4 hours of TB/STD training was completed as of the date of the inspection.
Employee # 4 was hired as a counselor on September 6, 2023 and was due to have the HIV/AIDS training and the TB/STD training completed no later than September 6, 2024. There was documentation the HIV/AIDS training was completed; however, there was no documentation indicating at least 4 hours of TB/STD training was completed as of the date of the inspection.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The facility director will ensure all newly hired staff presents certificates to indicate the required 6 hours of HIV/AIDS training and at least 4 hours of TB/STD training certificate and if they have not had the training, they will have three months to complete the required training. The facility director will ensure the newly hired staff will have access to training sites to meet the requirements.
The facility director will check and follow up with the newly hired staff to ensure they have completed the required training and sent the facility director the training certificate for 6 hours of HIV/AIDS training, in addition to the 4 hours of TB/STD training certificate. The facility director will also collect the satisfaction surveys of the trainings.
The facility director will conduct the follow up six months from the date of newly hired staff.
Employee #3 will sign up for the next department approved training for TB/STD no later than 11/30/24
Employee # 4 will sign up for the next department approved training for TB/STD no later then 11/30/24 |