Observations
Based on a review of page 7 of the "Staffing Requirements Facility Summary Reports" (SRFSR) and phone conversation with the Facility Director conducted on March 1, 2017, the facillity fail to ensure that all staff obtained at least 4 hours of tuberculosis, sexually transmitted diseases and other health related topics within the 2 year of employment. House Manger was hired on December 22, 2014. The completion of 4 hours of tuberculosis, sexually transmitted diseases and other health related topics was due by December 2016. There was no documentation that this training was completed at the time of this inspection.
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Plan of Correction
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.
(a) Daystar will be in compliance on 3/23/2017 with 704.11.the employee who did not have the TB/STD training will receive training on 3/23/2017. In order to ensure compliance with mandatory training's, a spread sheet was implemented to flag overdue training's quarterly and 6 months prior to the employee hire date expiration. The Administrative Director/ Human Resource person will ensure compliance with training requirements and the Executive Director will ensure overall compliance with this regulation. (b) Daystar has written policy to comply with 704.11(c )(1). We have added to our policy that if training hours are not met by employees, in a timely manner, the employee will be unable to work until the training requirements are met.
Completion Date:
3/23/2017
Status:
Rejected
Date:
04/03/2017
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