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Pennsylvania Department of Drug & Alcohol Programs
Inspection Results

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NUESTRA CLINICA REHABILITACION
50 EAST NEW STREET
LANCASTER, PA 17602

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Survey conducted on 07/03/2012

INITIAL COMMENTS
 
This report is a result of an onsite follow-up inspection regarding the plans of correction for the January 17-18, 2012 licensure renewal inspection. The follow-up inspection was conducted on July 3, 2012 by staff from the Division of Drug and Alcohol Program Licensure. Based on the findings of the onsite follow-up inspection, Nuestra Clinica Rehabilitacion was found not to be in compliance with the applicable chapters of 28 PA Code which pertain to the facility. The following deficiencies were identified during this inspection:
 
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.
Observations
Based on a review of personnel records, the facility failed to ensure that all staff persons and volunteers received a minimum of 4 hours of TB/STD training and other health related topics training using a Department approved curriculum in two of two personnel records. 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.



The findings include:



On July 3, 2012, two employee records requiring documentation of 4 hours of TB/STD training were reviewed. The facility failed to ensure that two of two employees received at least 4 hours of TB/STD training, employees # 8 and 9.



Employee # 8, a house manager, was hired 1/31/09. TB/STD training was to have been completed within two years of employment or by 1/31/11. The facility failed to provide documentation of TB/STD training for employee # 8.



Employee # 9, a house manager, was hired 7/21/09. TB/STD training was to have been completed within two years of employment or by 7/21/11. The facility failed to provide documentation of TB/STD training for employee # 9.



This is a repeat citation. The facility was previously cited on January 18, 2012.
 
Plan of Correction
Based on te results of the review, two employess were scheduled to have TB/STD training with the LPN before October 1,2012. Going forward the program director will ensure that all new hires receive this training within the allotted time. This will be done via quarterly employee chart reviews performed by the associate and program director.

 
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