Observations
During a supervisory review of your licensing packet, the reviewer determined that the Staffing Requirements Facility Summary Report form completed by the facility on May 25, 2011 was incomplete.The findings include:The Staffing Requirements Facility Summary Report that was presented to the Department ' s licensing representative at the time of the project ' s inspection was incomplete.Page one of the Staffing Requirements Facility Summary Report did not include all of the required information for the HIV/AIDS and TB/STD trainings for the project director and facility director. The facility was required to document the date, the provider, and the number of hours for the HIV/AIDS and TB/STD trainings, but the Staffing Requirements Facility Summary Report only indicated the dates of these trainings for the project director and facility director. Page three of the Staffing Requirements Facility Summary Report did not include all of the required educational information for the clinical employees. The facility was required to document the name of the institution, the degree, the major, and the date of issuance, but the Staffing Requirements Facility Summary Report did not indicate the major, for three counselors, one counselor assistant, and one assessor. Page four of the Staffing Requirements Facility Summary Report did not include all of the required information for the HIV/AIDS and TB/STD trainings for the clinical employees. The facility was required to document the date, the provider, and the number of hours for the HIV/AIDS and TB/STD trainings, but the Staffing Requirements Facility Summary Report only indicated the dates of these trainings for all of the clinical employees. The facility director signed the Staffing Requirements Facility Summary Report on May 5, 2011 to attest to the accuracy, veracity, and authenticity of its stated information.
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Plan of Correction
Staffing Requirements for Facility Summary has been completed. A copy will be sent to monitor. |