Observations
Based on a review of the Staffing Requirements Facility Summary Report and personnel records, the facility failed to document the completion of 24 clock hours of annual training required for counselors.
Employee #1 was hired as a project director/facility director/ counselor on September 1, 1992 and was still in the position as of the date of the onsite inspection. The facility's training year that was reviewed was from November 1, 2020 through October 31, 2021. Employee #1's record only document 7.5 hours of annual training for the training year reviewed.
This finding was reviewed with facility staff during the licensing inspection.
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Plan of Correction
25 hours of training was not completed at time of inspection.
Jacqueline Costello, will seek out various training sources and schedule trainings related to various topics, both in-person and on-line. She will then register for these trainings and keep track by documenting the number of hours for each training to ensure that they are equal to 25 hours. This will be completed within the next 3 months. |