Observations
Based on a review of personnel records and administrative policies and procedures, the facility failed to provide documentation of an annual performance review in two of four personnel records.
The findings include:
A review of personnel records on February 8, 2012 revealed that two personnel records, #s 3 and 4, failed to include documentation of an annual individual staff performance review.
Employee #3 was hired on 4-9-2004 for the position of Clinical Supervisor. The last annual work performance evaluation was documented on 4-7-10. The next annual work performance evaluation was due in April 7-2011; there was no documentation of this evaluation in employee # 3's record.
Employee #4 was hired on 6-17-209 in the position of Counselor. The last annual performance evaluation was documented 6-07-2010. The next evaluation was due in June 2011; there was no documentation of this evaluation in employee # 4's record.
|
Plan of Correction
An annual performance evaluation has been completed for #3 and #4 and has been placed in each individual's personnel file.
The Facility Director has put into place and shall ensure, by a system of monthly checks, that all annual work performance evaluations are completed and documented during the appropriate time frame. |