Observations
Based on a review of personnel records, the facility failed to ensure all staff received the minimum of at least 6 hours of HIV/AIDS and at least 4 hours of TB/STD and other health related topics within one year of employment in two of three records reviewed.
Staff #4 was hired as a counselor on August 26, 2024 and still employed at time of inspection. Communicable disease training was due to be completed no later than August 26, 2025. Staff #4 completed HIV/AIDS training on October 17, 2025 and TB/STD on October 29, 2025.
Staff #7 was hired as a counselor on March 13, 2024 and still employed at time of inspection. Communicable disease training was due to be completed no later than March 13, 2025. Staff #7 completed TB/STD training on October 29, 2025.
The findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
Program Director and/or Program Supervisor will continue to complete a comprehensive training plan with each staff annually.
Program Director and/or Program Supervisor will track required trainings on each staff training plan to ensure DDAP required trainings are completed within the identified timeframe.
Program Director and/or Program Supervisor will conduct quarterly audits of training plans. |