Observations
Based on a review of personnel training records and an interview with the executive director, the facility failed to provide documentation of TB/STD training in one of three personnel training records, as required by regulation.
The findings include:
Three personnel training records were reviewed on June 15, 2011. All three personnel training records reviewed were required to have documentation of TB/STD training. Per regulation, staff persons shall receive a minimum of 4 hours of TB/STD training. Counselors and counselor assistants shall complete the training within the first year of employment and all other staff shall complete the training within the first two years of employment. The facility did not provide documentation of TB/STD training in personnel record #1.
Employee #1 is a support staff and was hired on November 5, 2007. TB/STD training was due to be completed no later than November 5, 2009. The facility failed to provide documentation of TB/STD training for this employee as of June 15, 2011.
An interview with the executive director took place on June 15, 2011 at 11:45 AM. It was confirmed that employee #1 has not yet completed the required TB/STD training.
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Plan of Correction
Drug and Alcohol Services of Beaver Valley, Inc. (DASBV)has a confirmed training seat for TB/STD training on 07/08/2011. Employee #1 has been registered and informed that he must attend this training. Failure to do so will result in a suspension from work until training is completed. DASBV will be in full compliance when this training is completed. The executive director will monitor the the completion of this training, as well as all training activities scheduled for DASBV staff. |