Observations
Based on a review of personnel records, the facility failed to ensure all staff persons received at least 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 within the regulatory time frame in two of two applicable personnel records reviewed.
Employee # 4 was hired as a life skills professional on March 20, 2023. There was documentation the HIV/AIDS training was completed timely in the record. However, the tuberculosis, sexually transmitted diseases, and other health related topics training was due to be completed by March 20, 2025 and there was no documentation indicating the training was completed as of the date of the inspection.
Employee # 5 was hired as a life skills professional on May 1, 2023. There was documentation the HIV/AIDS training was completed timely in the record. However, the tuberculosis, sexually transmitted diseases, and other health related topics training was due to be completed by May 1, 2025 and there was no documentation indicating the training was completed as of the date of the inspection.
This finding was reviewed with facility staff during the licensing process.
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Plan of Correction
Program director and manager review trainings quarterly and had been unable to secure open slots for this training. One was secured for 6/17/25 and was completed. To remedy the ongoing problem, agency will submit training curriculum for approval allowing ability to deliver the training to staff internally. Curriculum will be submitted by 9/1/25. |