Observations
Based on a review of the facility summary report and a discussion with the human resource staff person, the facility failed to provide documentation of the completion of six hours of HIV/AIDS training and four hours of TB/STD training for three out of three staff members where due.
The findings include:
The facility summary report was reviewed on September 4, 5 and 6, 2012. Since the last survey, three out of three staff members were required to complete the HIV/AIDS and TB/STD training. Employee records #21, 22 and 23 did not complete the required training's.
Employee #21 was hired 7-28-2010 as a night counselor. As a support staff member, this employee was required to obtain HIV/AIDS and TB/STD training within the first two years of employment, by 7-28-2012. Employee # 21 failed to obtain the training as of 9/6/2012.
Employee #22 was hired 11-20-2009 as a weekend Activities Coordinator. As a support staff member, this employee was required to obtain HIV/AIDS and TB/STD training within the first two years of employment, by 11-20-2011. Employee # 22 failed to obtain the training as of 9/6/2012.
Employee #23 was hired 7-4-2011 as a counselor. As a counselor, this employee was required to obtain HIV/AIDS and TB/STD training within the first year of employment, by 7-4-2012. Employee # 23 failed to obtain the training as of 9/6/2012.
This was reviewed with the facility director and was not disputed.
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Plan of Correction
All current staff who have not yet been trained, including the three identified in this POC, will complete this training design by 10/31/12. Subsequent staff hired will complete this training design within the first year of employment.
In order to avoid future violations and ensure that staff persons and volunteers 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, the Human Resources Department will add those two training designs to the internal spreadsheet which records dates of completion for all required trainings.
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