INITIAL COMMENTS
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This report is a result of a supervisory review of the written report of the findings of an on-site licensure inspection that was conducted on June 23-25, 2015 by staff from the Division of Drug and Alcohol Program Licensure. Based on the supervisory review of findings from the on-site inspection, Pyramid Healthcare, 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 supervisory review:
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Plan of Correction
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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.
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Observations
Based on the supervisory review of the Staffing Requirements Facility Summary Report from the on-site inspection conducted on June 23-25, 2015 by staff from the Division of Drug and Alcohol Program Licensure, the facility failed to provide documentation of HIV/AIDs training for all staff.
The findings include:
The Administrative Coordinator was hired on 3/21/2011 and was required to obtain six hours of HIV/AIDs training by 3/21/2013. This employee failed to obtain the training as of the date of the inspections.
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Plan of Correction
HIV/Aids training will be added to the mandatory list of trainings for new hires that must be completed within 90 days of employment. Training added to list immediately
administrative coordinator and Training coordinator will insure new hires receive training so that deficiency does not recur. |