INITIAL COMMENTS
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This is a report of the on-site licensure renewal inspection conducted on August 1 through 2, 2007 by staff from the Division of Drug and Alcohol Program Licensure. The following deficiencies were identified during this inspection and a plan of correction is due on August 24, 2007.
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Plan of Correction
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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.
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Observations
Based on employee records reviewed, the facility failed to ensure the mandatory HIV/AIDS training was completed within the first year of employment in one of six records reviewed, # 6. The training was completed eight months late.
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Plan of Correction
The cunselor received the training on 7/20/07. The problem occurred because we could not locate an approved training in the Philadelphia area. We have since begun to contact larger D&A facilities and arranged to provide reimbursement for our staff to attend approved training that they provide for their staff, Path's training director will continue to do this whenever we have a staff member who requires training and an approved training cannot be located. We will also continue to work with the Philadelphia Coalition and the BHTEN to find solutions to this problem. |