| 2380.62 | Telephone numbers of the nearest police department, fire department and ambulance were not on or by the telephones in each program area and staff office. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted on or by each telephone in the facility with an outside line. | Service contacts requiring a phone number were verified by referencing the cited regulation. Contact names and phone numbers were determined for Police, Fire and Ambulance services and such information was included on the listing of Emergency Phone Numbers. The aforementioned specific changes were made by the site Manager and reviewed for accuracy by the Chief Operating Officer. The updated listing of Emergency Phone Numbers was posted by each telephone that has an outside line at the site. On 10/11/16 all staff were informed of the listing of the updated Emergency Phone Number listing including the names of the services contacts added to the listing and the phone numbers of each. The listing of Emergency Phone Numbers will be reviewed by the site Manager in concert with monthly fire drills to assure all contacts and phone numbers are current and accurate. |
10/11/2016
| Implemented |
| 2380.113(c)(2) | The Tuberculin skin test administered to Direct Service Worker #1 on 4/10/15 did not include the results. | The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physician's assistant. | The employee physical form was revised on 10/10/16 by the Partners For Quality, Inc. (PFQ) Human Resources Department to make the page of the document where tuberculin skin test results are recorded more prominent on the form. The Director of Training/Career Development conducted training on 10/11/16 with the Human Resources Benefits Coordinator and Human Resources Associate. The training included a review of the regulation pertaining to employee physicals, the revised employee physical form and the new screening process for reviewing each employee physical to ensure thorough/complete documentation. Effective 10/11/16 as each Citizen Care, Inc. physical is received from the outside agency, the document will be screened by a minimum of two PFQ Human Resources staff to assure that the physical form is 100% complete. Any physical form received that is not 100% complete will not be accepted and will be returned to the outside agency for completion. The Executive Director of Human Resources and the HR Benefits Coordinator will meet on 10/14/16 with the outside agency that completes the employee physicals for PFQ/Citizen Care, Inc. to review the following: (1) regulation pertaining to employee physicals, (2) revised physical form, (3) he necessity for consistent documentation of tuberculin skin test results on each employee and (4) the screening process to ensure employee physical forms are 100% completed. Copies of the revised physical form will be provided to the outside agency.[The results of the Tuberculin skin test administered to Direct Service Worker #1 was obtained on 9/28/16. Within 30 days of receipt of the plan of correction all current employee physical examinations shall be reviewed and completed using the aforementioned screening procedures. (AS 10/20/16)] |
10/14/2016
| Implemented |