Observations
Based on the review of personnel records, the facility failed to ensure that staff persons received a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training in one of one personnel records.
The findings include:
Four personnel records were reviewed on February 13, 2014. One personnel record was reviewed for documentation of the completion of the mandatory HIV/AIDS and TB/STD training requirements. The facility failed to document the completion of the mandatory HIV/AIDS and TB/STD training in personnel record # 4.
Employee # 4 was hired as a counselor on November 12, 2012. Employee # 4 was required to complete 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics by November 12, 2013. The facility failed to document the completion of the required training as of February 13, 2014.
The Project/Facility Director was interviewed on February 13, 2014 and confirmed the findings.
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Plan of Correction
The facility did not have an employee complete a minimum of 6 hours of HIV/AIDs and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training in one of one personnel records.
The Administrative Secretary has already registered this employee to attend the DDAP training for HIV/AIDS on March 21, 2014 at Mercy Hospital and TB/STD on April 16, 2014 at Mercy B3havioral Health.
The Administrative Secretary shall place a copy of these training certificates in the personnel file.
The Administative Secretary shall be responsible to insure that future new hires recieve required training is completed by the required DDAP date(s).
Thank you. |