Observations
During a supervisory review of your licensing packet, the reviewer determined the facility failed to provide a minimum of 6 hours of training in HIV/AIDS or 4 hours of training in TB/STD for all personnel.
The findings include:
A supervisory review was completed for the written report of the findings of an on-site licensing inspection that was conducted on November 9-10, 2011. The supervisory review determined that the Staffing Requirements Facility Summary Report stated personnel # 7 and 8 did not have 6 hours of training in HIV/AIDS or 4 hours of training in TB/STD.
Personnel # 7 was hired on 10/13/2008. Personnel # 7 was required to receive 4 hours of training in TB/STD by 10/13/2010, but the Staffing Requirements Facility Summary Report stated Personnel # 7 had not received this training.
Personnel # 8 was hired on 1/7/2009. Personnel # 8 was required to receive 6 hours of training in HIV/AIDS by 1/7/2011, but the Staffing Requirements Facility Summary Report stated Personnel # 8 had not received this training.
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Plan of Correction
Personnel # 7 will receive 4 hours of TB/STD training by September 30, 2012.
Personnel # 8 will receive 6 hours of HIV/AIDS training by September 30, 2012.
The individual responsible for follow-up to assure compliance will be the clinical supervisor.
In addition, all new hires will have all required BDAP trainings within the first year of their hire date. |