Observations
Based on the review of personnel records, the facility failed to document the project director completed at least 12 clock hours of training annually in one of one personnel record.
The findings include:
Three personnel records were reviewed on May 13, 2014. One personnel record was reviewed as the project director. The training year from July 1, 2012 to June 30, 2013 was reviewed. The facility did not document 12 hours of annual training for employee # 2.
Employee # 2 documented 9.25 hours of training the July 1, 2012 to June 30, 2013 training year.
The findings were reviewed with the facility director and were not disputed.
|
Plan of Correction
Plan of Correction:
a) The detox program will collaborate with the office of the Project Director (CEO), to monitor completion of required trainings. This includes:
1. Providing education to the CEO/Secretary regarding training requirements (Completed 5/28/14).
2. Providing education to the CEO/Secretary regarding approved independent study programs (Completed 5/28/14).
3. Semi-annual monitoring (November and May) of the completion of annual training requirements to be completed by the Facility Director or CADC. Began 5/15/14.
|