Observations
Based on a review of personnel records and the Staffing Requirement Facility Summary Report, the facility failed to ensure all staff persons received at least 4 hours of tuberculosis, sexually transmitted diseases, and other health related topics training within the regulatory time frame.Employee #5 was hired as a medical assistant on January 8, 2018. The TB/STD training was due no later than January 8, 2020; however, the training was not completed as of the date of the inspection.The findings were discussed with facility staff during the licensing process.
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Plan of Correction
Plan of Correction: The Project Director will complete a training plan with all project staff at the time of hire. The Director or designee will review training plans during monthly supervisions to ensure trainings are being completed and documented within the regulatory timeframe as per DDAP regulations. Facility Director will check bi-weekly for available trainings via Merakey's Learning Management System (LMS) and DDAP approved training sites and send training information to project staff to ensure compliance with regulatory timeframe as per DDAP regulations.
Employee #5 is scheduled for TB/STD DDAP training on December 16, 2022
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