Observations
Seven personnel records were reviewed on June 30, 2017. Six personnel records were required to have documentation of tuberculosis, sexually transmitted disease (TB/STD) training . The facility did not provide documentation of the TB/STD training within the required time frame in personnel record #6.
Employee #6, a counselor, was hired on February 10, 2016. TB/STD training was to be completed within one year of hire, by February 10, 2017 but was not completed until June 12, 2017.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
1.Training was completed on June 12,2017 and Licensing Specialist viewed certificate of completion during on-site inspection. Date:6/30/17
2.Facility Director will monitor to assure that all clinical staff hired will complete the required training within one year from their date of hire.
Date of completion: 7/10/17-ongoing.
Responsible Person: Facility Director. |