Observations
Based on a review of five personnel records and the facility's Staffing Requirement Facility Summary Report (SRFSR) form, the facility failed to ensure that two employees received the minimum of 6 hours of HIV/AIDS training within the regulatory timeframe and at least 4 hours of TB/STD and other health related topics within the regulatory timeframe.Employee #3 was hired as a counselor on March 12, 2020 and was due to have the communicable disease trainings no later than March 12, 2021. There was no documentation in the personnel file of the completion of the HIV/AIDS training and no documentation of the completion of TB/STD training at the time of the inspection. Employee #4 was hired as a counselor February 27, 2020 and was due to have the communicable disease trainings no later than February 27, 2021. There was no documentation in the personnel file of the completion of the HIV/AIDS training and no documentation of the completion of TB/STD training at the time of the inspection. These findings were discussed with facility staff during the inspection process.
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Plan of Correction
Employee #3 was registered for a 6/24/20 TB/STD training which was canceled. Employee #3 is registered to attend HIV/AIDS training on 4/5 & 4/6/21. Employee #3 is registered to attend TB/STD training on 6/28/21.
Employee #4 is registered to attend HIV/AIDS training on 4/5 & 4/6/21. Employee #4 is registered to attend TB/STD training on 4/12/21.
Due to the pandemic, many PCS staff had difficulty completing the required trainings. The Director of Outpatient Services is currently working with the PCS Training Department to develop curriculum to be approved by DDAP so that in-house communicable disease trainings can be offered to PCS staff to ensure completion within the regulatory timeframes. |