INITIAL COMMENTS
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This report is a result of an onsite follow-up inspection regarding the plans of correction for the February 8, 2019 licensure renewal inspection. The follow-up inspection was conducted on April 17, 2019 by staff from the Department of Drug and Alcohol Programs, Bureau of Quality Assurance for Prevention and Treatment. Based on the findings of the onsite follow-up inspection, Nuestra Clinica Rehabilitation 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 inspection:
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Plan of Correction
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704.11(c)(2) LICENSURE CPR CERTIFICATION
704.11. Staff development program.
(c) General training requirements.
(2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
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Observations
During a follow-up inspection conducted on April 17, 2019, the facility failed to provide documentation of CPR certification and first aid training to a sufficient number of staff persons, so that at least one person trained in those skills is onsite during the project ' s hours of operation.
This is a repeat citation from February 8, 2019 and January 18, 2018.
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Plan of Correction
The last person was trained in CPR and First ide and all staff employed are now fully compliant with regulation. The nurse will be responsible for ensuring that any new employee hired without certification becomes certified within the first 30 days of employment and the program manger will ensure that employee does not work alone. |