Observations
Based on a review of four personnel records and the facility's Staffing Requirement Facility Summary Report (SRFSR) form, the facility failed to ensure that one employee received the minimum of 6 hours of HIV/AIDS training within the regulatory timeframe.
Employee #4 was hired as a counselor on June 6, 2019 and was due to have the communicable disease trainings no later than June 6, 2020, 2020. Documentation in the personnel file indicated that employee #4 did not receive the HIV/AIDS training until August 28, 2020.
These findings were discussed with facility staff during the inspection process.
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Plan of Correction
Employee #4 was registered for HIV/AIDS trainings on 4/9/20 & 6/23/20, both trainings were canceled.
Due to the pandemic, many PCS staff had difficulty completing the required trainings. The Director of Outpatient Services is currently working with the PCS Training Department to develop curriculum to be approved by DDAP so that in-house communicable disease trainings can be offered to PCS staff to ensure completion within the regulatory timeframes. |