Observations
Based on a review of five personnel records conducted during the inspection on February 4, 2022, the facility failed to ensure that one staff had the mandatory training in communicable diseases within the required time frame.
Staff #4 was hired as a counselor on December 3, 2020. The staff person was required to have 6 hours of HIV/AIDS training by December 3, 2021, but at the time of the inspection, the staff person had no documentation of training in this area.
These findings were reviewed with facility staff during the licensing process.
This is a repeat citation from an inspection conducted on March 2, 2021.
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Plan of Correction
Staff #4 is scheduled to attend 6 hours of HIV/AIDS training on February 23rd and February 24th, 2022.
The Regional Director of Outpatient Administration and the Office Manager will oversee that staff are registered to attend mandatory trainings within the required time frame. Applicable staff will receive monthly reminders as needed to ensure ongoing compliance. |