Observations
Based on a review of personnel records, a review of the facility summary report, and a conversation with the project director and the clinical supervisor, the facility failed to provide documentation of HIV/AIDS and TB/STD training for two of three personnel records reviewed.
The findings include:
Six personnel records were reviewed on July 20, 2011. The facility summary report was reviewed on July 20, 2011. Three personnel were required to have documentation of HIV/AIDS and TB/STD training. The facility did not provide documentation of the required HIV/AIDS and TB/STD training for personnel records # 3, and 4.
Employee # 3 is a counselor and was hired April 26, 2010. HIV/AIDS and TB/STD training was to be completed within one year of hire, by April 26, 2011. The facility failed to provide documentation of TB/STD training.
Employee # 4 is a counselor and was hired September 8, 2009. HIV/AIDS and TB/STD training was to be completed within one year of hire, by September 8, 2010. The facility failed to provide documentation of HIV/AIDS training.
This was discussed with and confirmed by the project director and the clinical supervisor on July 20 and 21, 2011. It was confirmed the general training requirements were not completed for these personnel.
|
Plan of Correction
In response to being out of compliance for 704.11(c)(1) Mandatory Communicable Disease Training, Fayette County Drug and Alcohol Commission Inc. has scheduled counselor #3 for a four- hour BDAP training on TB/STD and Hepatitis on 10/30/11. Counselor #4 is scheduled to attend a six -hour BDAP training on basic HIV/AIDS on 11/16/11. |