Observations
Based on a review of personnel records, the facility failed to provide documentation of HIV/AIDS and TB/STD training in one of four personnel record.The findings include:Four personnel records were reviewed on December 10, 2016. Four personnel records were required to have documentation of HIV/AIDS and TB/STD training. The facility did not provide documentation of the required HIV/AIDS and TB/STD training in personnel records # 4.Employee # 4 a monitor was hired March 25, 2013. HIV/AIDS and TB/STD training was due to be completed no later than March 25, 2015. The facility failed to provide documentation of HIV/AIDS and TB/STD training.These findings were reviewed with facility staff during the licensing process.
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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.
(a) Daystar has a written policy to comply with 704.11(c)(1). We have added to our policy that if training hours are not met by employees, in a timely manner, the employee will be unable to work until the training requirements are met.
Employee #4 Monitor has been scheduled for both training's
- May 19, 2016 for TB/STD
- May 26,2016 for HIV/AIDS
The Human Resources will ensure compliance to this policy and the Executive Director will ensure overall compliance.
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