| 2380.20(a) | Staff #1 date of hire was 9/15/2022 and the only record of a criminal history check was documented on 7/11/2023. The criminal history check should be within 5 working days of initial hire. | An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employees of the facility who will have direct contact with individuals, and for part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. | Avenues' Human Resources Manager created a new hire checklist to make sure that all pre-employment requirements and checks are completed within the required time frames. Completed documents will be uploaded into iSolved (Avenues' timekeeping/payroll system) and a hard copy kept in the employee's paper file in the HR office. |
08/03/2023
| Implemented |
| 2380.111(c)(3) | Individual #1 had a physical dated 6/15/23. The physical documents the individual's immunization records. This individual had a TDAP on 12/12/12. The most recent TDAP was on 6/15/23. This exceeds the US Public Health Service Center for Disease Control and Prevention recommendation for the TDAP to occur every 10 years. | The physical examination shall include: Immunizations as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | Individual #1's previous physical (2022) was completed in June, however, her TDAP was not due until December of 2022. The TDAP immunization was not administered in December, rather it was completed at her next physical on 6/15/23, causing it to be overdue. Program Specialist created a paperwork due date checklist to track compliance with all required paperwork, including physical, TDAP, and TB testing (Attachment #2). |
08/03/2023
| Implemented |