Observations
Based on a review of personnel and training records, the facility failed to provide documentation of HIV/AIDS and TB/STD training in one of five applicable records reviewed
The findings include:
Five personnel records which required documentation of mandatory communicable disease training were reviewed on November 9-10, 2015. The facility failed to provide documentation of HIV/AIDS and TB/STD training for employee #1.
Employee #1 was hired June 7, 2011 as the Facility Director. This employee was required to obtain six hours of HIV/AIDS and 4 hours of TB/STD training by June 7, 2012. Employee #1 failed to provide certification of this training as of the date of the inspection.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The Facility Director will complete the mandatory 6 hours of HIV/AIDS training and 4 hours of TB/STD training by March 31, 2016.
The Facility Director will ensure that training hours are complete annually.
The Facility Director is responsible for ensuring the training is complete. |