INITIAL COMMENTS
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An off site follow -up survey conducted March 2, 2009 found Mid-Atlantic Rehabilitation Services, Inc., had not corrected the following deficiencies cited under chapters of 28 PA Code which pertain to the facility. The deficiencies were cited as a result of the annual survey completed on November 14, 2008.
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Plan of Correction
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704.11(c)(2) LICENSURE CPR CERTIFICATION
704.11. Staff development program.
(c) General training requirements.
(2) CPR certification and first aid training shall be provided to a sufficient number of staff persons, so that at least one person trained in these skills is onsite during the project's hours of operation.
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Observations
Based on an off site request to provide documentation of three training records to verify the general training requirements, the facility failed to provide CPR and first aid training to a sufficient number of staff.
The findings include:
Two of three training records reviewed on November 13, 2008 did not document CPR or first aid training. Training record # 1 documented a first aid expiration date of November 2007. Training record #2 documented a CPR expiration date of July 2008. Both staff are required to have CPR and First Aid training in order to provide for a sufficient number of staff to cover the hours of operation.
A phone interview with the facility director on March 2, 2009 revealed that CPR and First aid training for a sufficient number of staff to provide coverage for all hours of operation has not occurred since the annual inspection of November 14, 2008.
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Plan of Correction
Director of Addiction Treatment programs will schedule an on-site cpr/first aid training to ensure the appropriate number of staff are trained in cpr/first aid by 5/10/09. The training will take place prior to 6/30/09. The Director of Addiction Treatment programs will ensure documentation of training through personell file audits conducted following the scheduled cpr/first aid training. |