Observations
Based on a review of personnel records, the facility failed to ensure that staff persons received a minimum of 6 hours of HIV/AIDS and at least 4 hours of TB/STD and other health related topics within the first year of employment for clinical staff.The findings include:Three personnel records requiring documentation of HIV/AIDS and TB/STD training were reviewed on September 4, 2014. One out of three records, specifically record #3, did not contain the required documentation. Employee # 3 was hired as counselor on June 17, 2013. Training was due by June 17, 2014. As of the date of the licensing inspection, there was no documentation of HIV/AIDS training in record # 3. The TB/STD training for employee # 3 was late as it was not completed until July 15, 2014. These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
During our yearly inspection NHS Susquehanna Center received a citation for failing to ensure that staff persons received a minimum of 6 hours of HIV/AIDS and at least 4 hours of TB/STD and other health related topics within the first year of employment for clinical staff. NHS Susquehanna Center had employee record #3 completing the missing required Basic HIV Training on 9/16/14. All newly hired NHS Susquehanna Center staff will receive the required trainings on site to ensure completion is within the required time frames. The tracking of the required trainings will be monitored by the Program Director through NHS' Learning Management System. |