This report is a result of an on-site licensure renewal inspection conducted on March 25, 2013, by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the on-site inspection, Perry Human Services, Inc., 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.
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Plan of Correction
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Observations
Based on a review of personnel and training records, the facility failed to document an individual training plan that was developed with input from the employee and the employee's supervisor in four of four personnel records.
The findings included:
Four personnel records were reviewed on March 26, 2013. All personnel records were reviewed for an individual training plan. According to the regulations, a written individual training plan for each employee shall be developed annually with input from both the employee and the supervisor. The facility had documented an individual training plan in all personnel records, however, there was no way to determine when the plan was developed with input from the employee and their supervisor. There were lines for the employee and supervisor to sign off on the training plan, however, they were not signed in employee records # 1, 2, 3, and 4.
The findings were reviewed with the facility and were confirmed.
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Plan of Correction
Individual Training Plan form was revised on April 3, 2013 by Executive Director to include signatures and dates of employee and employee's supervisor, verifying employee and supervisor had input in developing employee's training plan. Old form has been removed by Executive Director. Revised training plan form will be used to develop staff training plans for 2013-2014 year. 13-14 staff training plan will be completed and signed by staff by June 3, 2013. |