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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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CHESTER COUNTY INTERMEDIATE UNIT - CHANGES
540 EAST UNION STREET, SUITE D
WEST CHESTER, PA 19380

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Survey conducted on 10/21/2010

INITIAL COMMENTS
 
This report is a result of an on-site licensure inspection conducted on October 20 - 21, 2010 by staff from the Division of Drug and Alcohol Program Licensure.

Based on the findings of the on-site inspection, Chester County Intermediate Unit - Changes was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility.

The following deficiencies were identified during this inspection and a plan of correction is due on November 23, 2010.
 
Plan of Correction

704.11(c)(1)  LICENSURE Mandatory Communicable Disease Training

704.11. Staff development program. (c) General training requirements. (1) Staff persons and volunteers shall receive a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum. Counselors and counselor assistants shall complete the training within the first year of employment. All other staff shall complete the training within the first 2 years of employment.
Observations
Based on a review of the Staffing Requirements Facility Summary Report, and a conversation with the Facility Director, the facility failed to ensure staff persons and volunteers shall receive a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum. Counselors and counselor assistants shall complete the training within the first year of employment. All other staff shall complete the training within the first 2 years of employment.



The findings include:



The Staffing Requirements Facility Summary Report was reviewed on October 13, 2010.

Four employees 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 employee # 5.



Employee # 5 is support staff that was hired August 28, 2008.

HIV/AIDS and TB/STD training was to be completed within the first 2 years of employment, by August 28, 2010.

The facility failed to ensure that employee # 5 received the required training within the allotted timeframe.



The Facility Director confirmed that employee # 5 did not receive the required HIV/AIDS and TB/STD training within the first 2 years of employment.
 
Plan of Correction
Facility Director will ensure that all staff persons and volunteers shall receive a minimum of 6 hours of HIV/AIDS and at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics training using a Department approved curriculum. Employee #5 will recieve the required training by March 16, 2011 as offered by BDAP.

 
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