INITIAL COMMENTS
|
This report is a result of a supervisory review of the written report of the findings of an on-site licensing inspection that was conducted on December 12-13, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the supervisory review of findings from the on-site inspection, Aldie Counseling Center was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.
The following deficiencies were identified during this supervisory review:
|
Plan of Correction
|
704.11(c)(1) LICENSURE Mandatory Communicable Disease Training
704.11. Staff development program.
(c) General training requirements.
(1) Staff persons and volunteers shall receive 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. Counselors and counselor assistants shall complete the training within the first year of employment. All other staff shall complete the training within the first 2 years of employment.
|
Observations
During a supervisory review of your licensing packet, the reviewer determined the facility failed to provide a minimum of 4 hours of training in TB/STD for all personnel.
The findings include:
A supervisory review was completed for the written report of the findings of an on-site licensing inspection that was conducted on December 12-13, 2011. The supervisory review determined that the Staffing Requirements Facility Summary Report stated personnel # 11 did not have 4 hours of training in TB/STD.
Personnel # 11 was hired on 9/27/2010. Personnel # 11 was required to receive 4 hours of training in TB/STD by 9/27/2011, but the Staffing Requirements Facility Summary Report stated Personnel # 11 had not received this training.
|
Plan of Correction
Personnel # 11 subsequently provided a valid certificate to the facility director for this training that was obtained while employed at a previous licensed facility.
The facility's form that is used for the initial and annual training plans for all individual employees was revised and contains a section listing the mandated trainings. This form is reviewed and revised annually by the employee and supervisor. The administrative assistant tracks the completion of this form and its placement in each employee's personnel record; and notifies the facility director and/or clinical director when the employee's completed plan is overdue.
|