Observations
Based on a review of personnel training records and the Staffing Requirements Facility Summary Report, the facility failed to ensure that the project director receive at least 12 clock hours of training annually.
The findings include:
According to the Staffing Requirements Facility Summary Report, the facility training year runs from October 1 through September 30.
The project director's record was reviewed specifically for training hours for the 2012-2013 training year on June 23, 2014. There was no documentation of any clock hours obtained for the 2012-2013 training year for in personnel record #1.
Employee # was hired as the project director on November 1, 2007. Employee # 1 did not have any documented clock hours of training during October 1, 2012 through September 3, 2013.
The findings were confirmed with the Drug and Alcohol coordinator.
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Plan of Correction
Our training year runs from October 1 through September 30. Employee #1 will be leaving the agency tentatively between 1 August 2014 and 1 October 2014. Once her replacement has been named, the new hire procedures will be completed within 7 days of hire to include the requirement of 12 documented training hours per training year. This standard will be reviewed monthly with the new employee to ensure compliance.
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