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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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GAUDENZIA, INC.
201 EAST MAIN STREET
MIDDLEBURG, PA 17842

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Survey conducted on 06/08/2010

INITIAL COMMENTS
 
This report is a result of an on-site licensure renewal inspection conducted on June 8, 2010 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Gaudenzia, Inc. was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection and a plan of correction is due on July 7, 2010.
 
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.
Observations
Based on a review of personnel training records and facility policies and procedures, the facility failed to provide documentation of TB/STD and HIV/AIDS training in one of three personnel training records as per facility policies and procedures.



The findings include:



Facility policy titled, Standard: 704.11.c Subject: General Training dated January, 2009 stated:



Core staff training shall be completed within the first three months of employment and include, but not be limited to:



DOC - Orientation - first 40 hours as per American Corrections Association standards



HIV/AIDS - 6 hours for counselors orientation period



TB/STDS - 4 hours for counselors within three months of employment and other staff within two years

Fire Safety - [do a preliminary review the first week]

CPR - orientation period





Three personnel training records were reviewed on June 8, 2010. Three personnel training records were required to have documentation of TB/STD and HIV/AIDS training. Per regulation, staff persons shall receive a minimum of 6 hours of HIV/AIDS and at least 4 hours of TB/STD training. Counselors shall complete the training within the first year of employment. The facility did not provide documentation of TB/STD and HIV/AIDS training in personnel training record # 3.





Employee # 3, is a counselor and was hired on January 2, 2009. TB/STD and HIV/AIDS training was due to be completed no later than April 2, 2010. As of the date of inspection the facility did not provide documentation of 4 hours of TB/STD and 6 hours of HIV/AIDS training for employee #3.
 
Plan of Correction
Employee # 3 is scheduled to attend TB/STD/HEP training offered by the BDAP training management system on Wednesday, July 14, 2010. Also employee # 3 is scheduled for BASIC HIV on November 16, 2010 offered by the BDAP training management system. Confirmation has been received for both courses as of 6-9-10. Program Director will follow up July 15th and November 17th to ensure attendance.

 
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