Observations
Based on a review of personnel records, the facility failed to ensure staff persons received a minimum of 6 hours of HIV/AIDS training in one of four personnel records.
The findings include:
Twelve personnel records were reviewed on March 1, 2016. Four personnel records were reviewed for documentation of HIV/AIDS training. The facility failed to ensure employee # 12 received a minimum of 6 hours of HIV/AIDS training.
Employee # 12 was hired as support staff on May 6, 2013. HIV/AIDS training was due to completed no later than May 6, 2015. There was no documentation of HIV/AIDS training in personnel record # 12, as of March 1, 2016.
The findings were reviewed with facility staff during the licensing process.
This is a repeat citation from the February 3 - 5, 2015 licensing inspection.
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Plan of Correction
Employee #12 is a part time employee who works approximately 6 months within a calendar year. Employee #12 will return to work the week of April 4, 2016, and will complete HIV/AIDS training by April 8, 2016.
Also beginning the week of April 4, 2016, the Training Department will forward a copy of all HIV/AIDS and TB/STD training rosters to the Quality & Compliance Specialist. The Quality & Compliance Specialist will then update the DDAPL Staffing Report with the training hours completed for each employee in the DDAPL licensed programs.
The Quality & Compliance Specialist will update the DDAPL Staffing Report no less than once per quarter to verify that all staff persons and volunteers receive training within the appropriate time frames.
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