Observations
Based on a review of personnel records, the facility failed to document 25 clock hours of annual training for a counselor in one of three personnel records reviewed.
The findings include:
Three counselor personnel records were reviewed on August 13, 2015. The facility's annual training year is January 1 through December 31. The facility failed to document 25 clock hours of annual training for employee #6 for the January 2014 - December 31, 2014 training year.
Employee # 6, a counselor, was hired on April 8, 2013. The facility documented 11 clock training hours for the 2014 training year.
The findings were reviewed with facility staff during the licensing process.
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Plan of Correction
Begining immediately reports regarding training hours will be forwarded to the clinical supervisors on a quarterly basis by the administrative assistant for review. Clinical supervisiors will be responsible for ensuring that counselors are scheduled for, attending and recieving training hours in accordance with DOH regulations. The administrative assistant and the Residential Program Director will monitor progress quarterly. Last report sent on September 2, 2015. Reports to be sent in March, June, September and on December 1. |