NURSING AND PSYCHIATRIC TECHNICIANS BOARD OF …

Advanced Medical School of Nursing, Pittsburg, Vocational NursingT BUSINESS, CONSUMER SERVICES ANO HOUSING AGENCY • GAVIN NEWSOM. GOVERNOR
DEPARTMENT OF CONSUMER AFFAIRS • BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS BOARD OF VOCATIONAL NURSING
AND PSYCHIATRIC TECHNICIANS 2535 Capitol Oaks Drive, Suite 205, Sacramento, CA 95833 P (916) 263-7800 I www.bvnpt.ca.gov
DATE February 8, 2019
Nursing Education Consultant
STAFF SUMMARY:
The Advanced Medical School of Nursing, Pittsburgh, Vocational Nursing Program is presented to the Board for consideration of the director’s request to admit a class of 30 students to commence on September 5, 2019 with an expected graduation of October 5, 2020.
The program was initially placed on provisional approval for a three-month period on May 12, 2017, due to noncompliance with regulatory requirements. The program has subsequently corrected 11 of the 15 violations. The two of the four remaining violations cannot be corrected until a class of students is approved and admitted. On November 17, 2017, the Board extended the program’s provisional approval for a two- year period, from November 2017 through November 29, 2019. On March 21, 2018, the Board approved a new program director. On December 7, 2018, the program provided information regarding facilities available for a March 2019 class. The information provided did not provide evidence of sufficient clinical facilities to afford the number, type and variety of patients that will provide clinical experiences consistent with Board-approved competency-based objectives and theory being taught for current and proposed students. As of December 31, 2018, of the 13 reported graduates for the program, 11 program candidates have taken the licensure examination and three passed the licensure examination on the first attempt.
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RECOMMENDATIONS:
1. Deny the Advanced Medical School of Nursing, Vocational Nursing Program’s requested class of 30 students to commence on March 5, 2019, scheduled to graduate on March 29, 2020.
2. Revoke the provisional approval of Advanced Medical School of Nursing, Vocational Nursing Program, effective immediately.
3. Remove the program for the Board’s list of Approved Vocational Nursing Schools effective immediately.
History of Prior Board Actions (See Attachment A, History of Prior Board Actions) Enrollment The program offers a full-time course of instruction that is 51 weeks in length. Prior Board approval is required for the admission of all classes. The pattern of admissions is seen in the enrollment table below. The following table represents current student enrollment based on current class starts and completions. The table indicates a maximum enrollment of thirty (30) students for the period September 2019 through October 2020.
ENROLLMENT DATA
Admitted or Completed Start Completed
9/19 PROPOSED 30 30
*Expected graduation date
Licensing Examination Statistics The following statistics, furnished by Pearson VUE and published by the National Council of State Boards of Nursing as “Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction” for the period April 2018 through December 2018 specify the pass percentage rates for graduates of the Advanced Medical School of Nursing, Pittsburg, Vocational Nursing Program on the National Council Licensure
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Examination for Practical/Vocational Nurses (NCLEX-PN®) and the variance from state average annual pass rates.
NCLEX-PN® Licensure Examination Data
Quarterly Statistics Annual Statistics*
# # % State Program State Average Variance Quarter Candidates Passed Passed Quarterly Average Annual from State
Pass Rate Annual Pass Rate Average Pass Rate [CCR §2530(l)] Annual
Pass Rate
Apr – Jun 2018 4 2 50% 79% 50% 76% -26
Jul – Sep 2018 3 1 33% 77% 43% 76% -33
Oct – Dec 2018 4 0 0% 79% 27% 79% -52
*The Annual Pass Rate changes every quarter. It is calculated by dividing the number of candidates who passed during the current
and previous three quarters by the number of candidates who tested during the same period. If no data is available for the relevant period, the statistic is carried over f rom the last quarter f or which data is available.
California Code of Regulations section 2530(l) states:
The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period.
Based on the most recent data available (October through December 2018), the program’s average annual pass rate is 27 percent, the California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PN® for the first time during the same period is 79 percent. The average annual pass rate for the Advanced Medical School of Nursing vocational nursing program is 52 points below the state average annual pass rate. The first class of 13 students completed the program on September 30, 2017. To date, 11 students have taken the licensure examination and three have passed. Faculty and Facilities
Section 2534(d) of the Vocational Nursing Rules and Regulations states:
For supervision of clinical experience, there shall be a maximum of 15 students for each instructor.
The total number of Board-approved faculty is five, including the program director. The director is designated 100 percent administrative. All four faculty members are designated to teach clinical. All four of the approved instructors have verified they remain available to teach in a course starting in March 2019. According to the requirements specified by the Board at the May 12, 2017, Board meeting, the program is required to provide an instructor-to-student ratio of 1:10. For a maximum
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AgAgenda enda IItem tem ##16.C.1 16.C.1
enrollment of 30 students, three instructors are required. Therefore, the number of current approved faculty is adequate for the current enrollment. However, none of the instructors have verified availability to teach the requested September 2019 course.
Section 2534(b) of the Vocational Nursing Rules and Regulations states:
Schools shall have clinical facilities adequate as to number, type, and variety of patients treated, to provide clinical experience for all students in the areas specified by Section 2533. There must be available for student assignment, an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught.
Submitted documents indicate that the program does not have sufficient clinical facilities to afford the number, type and variety of patients that will provide clinical experience consistent with Board-approved competency-based objectives and theory being taught for the proposed students. The program submitted documentation that four facilities would accept students in March 2019. Of those four facilities:
1. One facility is not a Board-approved facility.
2. One facility is changing management and stated, “it will depend upon the new management if the students can return”.
3. None of the facilities, that verified availability in March, offer pediatric or maternity nursing opportunities for the students. (See attachments B.)
Other Considerations On June 23, 2016, the Board approved the program’s commencement of the initial class on August 29, 2016, with a projected graduation date of September 29, 2017. On April 11 and 12, 2017, two Board representatives completed an unannounced onsite inspection of the program due to concerns regarding program’s active administration by an approved director. The purpose of the inspection was to determine the program’s compliance with requirements specified in Article 5 of the California Code of Regulations. Fifteen violations were identified. (See Attachments C.) On May 12, 2017, the Board adopted the recommendation of the Education Committee to place the program on provisional approval for a three-month period. Additionally, the Board scheduled reconsideration of the program’s status for the August 2017 meeting. The program was required to hire a program director no later than May 30, 2017, and to submit a plan for students to make up missed theory and clinical hours, and plan to correct all violations no later than June 2, 2017. The Board required the program to provide a minimum of one instructor for every ten students. The program remained without a director until July 17, 2017.
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AgAgenda enda IItem tem ##16.C. 16.C.1 I
On June 2, 2017, the program submitted a plan for students to make up theory and clinical hours prior to the completion of the program. On June 12, 2017, the Board received correspondence from the program advising that approved OB clinical sites have terminated the contracts between the school and the clinics. Such termination removed the opportunity for students currently in the Maternity Nursing course to receive clinical placement in Maternity Nursing. The program stated that they will work to obtain clinical placement for the students. On July 5, 2017, a second unannounced onsite inspection of the program was conducted to determine the program’s compliance with Board requirements to correct previously identified violations. Based on representatives’ observations and analysis of program documents and materials, representatives determined that the program had failed to correct the 15 violations previously identified. On July 17, 2017, the Board approved a new program director, who agreed to work as the interim director until a permanent director can be hired. On August 25, 2017, the Board extended the provisional approval for three months. On September 1, 2017, the program submitted the required report addressing all outstanding violations. On September 25, 2017, the program director, owner, and assigned Nursing Education Consultant met to evaluate board and program documents evidencing correction of 13 of the 15 initially identified violations. On October 8, 2017, the director submitted evidence that all of the initial class of 13 graduates made up attendance for all of the outstanding clinical and theory hours prior to graduation on September 30, 2017. On December 7, 2018, the program provided documentation verifying lack of adequate resources specifically Board approved clinical sites. This information indicates that two of the originally identified violations recognized as corrected have not been corrected. On November 17, 2017, the Board extended the program’s provisional approval for a two-year period. On March 21, 2018, the Board approved a new program director. Of the initial 15 identified violations specific to sections of the California Business and Professions Code and California Code of Regulations, four remain uncorrected. The status of the four remaining violation follows:
Section 2530(a) of the Vocational Nursing Rules and Regulations states:
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The program shall have sufficient resources, faculty, clinical facilities, library, staff and support.
Violation #1: The program continues to lack adequate resources specifically clinical
facilities. The documentation provided on December 7, 2018, verifies inadequate resources to specifically clinical facilities.
Status: This violation is not corrected.
The program obtained adequate facilities to complete the 2017 class of students. However, the program has not provided documentation that verifies there will be sufficient clinical facilities to afford the number, type and variety of patients that will provide clinical experience consistent with Board-approved competency-based objectives and theory being taught for the proposed students for a September 2019 class.
(b) The minimum hours required shall be as follows: Theory hours 576, which shall include a minimum of 54 hours in pharmacy, clinical hours- 954.
Violation #2: The program did not offer admitted student the Board approved
program hours. Documentation was identified that class was frequently canceled due to lack of instructor or clinical site. Additionally, students were not held to the program’s Board approved attendance policy. One student was identified as having missed 256 program hours.
Submitted program records and documents provide evidence that all students made up all missed program hours, but the violation cannot be considered corrected until the following events occur:
• the program submits a procedure identifying methods to prevent the program from dismissing class due to programmatic inconveniences,
• a class of students is admitted, and
• evidence is provided to the Board that the program is consistently conducting class per the Board approved instruction plan.
(b) Schools shall have clinical facilities adequate as to number, type, and variety of patients treated, to provide clinical experience for all students
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in the areas specified by Section 2533. There must be available to student assignment, an adequate daily census of patients to afford a variety of clinical experiences consistent with competency-based objectives and theory being taught. Clinical objectives which students are expected to master shall be posted on patient care units utilized for clinical experiences.
Violation #3: Documentation submitted December 7, 2018. identified four clinical
sites, one that is not Board approved, one was unidentifiable, and the facility director stated in the email that there are questions if new management will accept the students. No facility was identified as offering clinical experiences for pediatrics or maternity care.
Status: This violation is not corrected. The program has not provided evidence that there will be sufficient
clinical facilities to afford the ability to meet the clinical objectives to meet the competency-based objectives and theory being taught.
Section 2535 of the Vocational Nursing Rules and Regulations states:
Each school shall have a policy, approved by the Board for giving credit toward the curriculum requirements.
(a) Transfer credit shall be given for related precious education completed within the last five years. This includes the following courses:
(1) Approved vocational nursing or practical nursing courses. (2) Approved registered nursing courses. (3) Approved psychiatric technician courses. (4) Armed service nursing courses. (5) Certified nurse assistant courses.
(6) Other courses that school determines are equivalent to courses in
the program.
Violation #4: The program does not offer credit granting for students who have obtained the CNA certificate prior to admission to the program.
The program has submitted a plan to provide credit granting to students who have completed a CNA program within five (5) years prior to admission into the program. Documentation of granting credit to current students, who were admitted with previous CNA education, dated August 15, 2017, was submitted. The forms provided 40 credit hours for fundamentals which the students had already completed in Term 1.
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Staff Rationale for Recommendations: On November 17, 2017, the program’s provisional approval was extended for a two-year period from November 2017 through November 2019. Current documents submitted provided evidence that 11 of the 15 violations have been corrected. Two of the violations previously considered corrected, were identified from documents submitted by the program on December 7, 2018, as not corrected. The two of the four remaining uncorrected violations cannot be corrected until a class of students are admitted. The program’s initial class of student’s completion date was September 30, 2017. As such the first program graduates were eligible to take the NCLEX-PN® licensure examination in Quarter 4, 2017. Currently, 11 of the 13 students have tested and three passed the licensure examination on the first attempt. The program’s current Quarter 4, 2018, pass rate is 27 percent, 52 points below the statewide average. The program has not provided the Board with evidence of adequate resources, specifically the availability of Board approved clinical facilities available for the requested September 2019 class. This was one of the issues identified with the graduating class of 2017, which caused a delay in their graduation. Attachment A: History of Prior Board Actions. Attachment B. Correspondence from Program received December 7, 2018. Attachment C: Summary of Findings from Onsite Inspection.
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Agenda Item #16.C.1., Attachment A
Advanced Medical School of Nursing, Pittsburg
Vocational Nursing Program
History of Prior Board Actions
• On June 5, 2014, the Executive Officer approved the Advanced Medical School of Nursing, Pittsburg’s request to begin a vocational nursing program with an initial class of 45 students and four (4) alternates on September 2, 2014, only, with a projected graduation date of September 30, 2015; and, approved the program’s curriculum for 1652 hours, including 671 theory and 981 clinical hours; and, required the director to submit documentation substantiating approval to operate by the Department of Consumer Affairs’ Bureau for Private Postsecondary Education prior to admission of the initial class. Additionally, The Executive Officer required the program to obtain Board approval prior to the admission of additional students in accordance with California Code of Regulations, Article 5. Schools Section 2526 (c) which states:
“A Board representative shall make a survey visit prior to graduation of the initial class. A program shall not commence another class without prior Board approval.”
• On December 7, 2015, the Executive Officer Approved the Advanced Medical School of Nursing, Pittsburg, Vocational Nursing Program’s request for approval to admit its initial class of 45 students and four (4) alternates on January 11, 2016, only, with a projected graduation date of February 11, 2017; and,
Required the program to obtain Board approval prior to the admission of additional students in accordance with California Code of Regulations, Article 5. Schools Section 2526 (c) which states:
“A Board representative shall make a survey visit prior to graduation of the initial class. A program shall not commence another class without prior Board approval.”
• On June 23, 2016, the program was approved to commence the class previously approved the start on January 11, 2016, to commence on August 29, 2016, with a projected graduation date of September 29, 2017.
• On April 11 and 12, 2017 an unannounced on campus program inspection was completed fifteen (15) violations were identified.
• On April 18, 2017, the Education Committee placed the Advanced Medical School of Nursing on the May 12, 2017, Board agenda for placement on Provisional Approval.
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• On May 12, 2017, the full Board:
1. Placed the Advanced Medical School of Nursing, Pittsburg, Vocational Nursing Program on provisional approval based on its pre-approval status for three months May 2017 through August 2017, and issued a certificate accordingly.
2. Placed the program on the August 2017 Board agenda for reconsideration of provisional approval based on a pre-approval status.
3. Required the program to submit a plan to correct all violations, due no later than June 2, 2017.
4. Provide a plan for all students to make up all theory and clinical hours prior to completion of the program. Due no later than June 2, 2017.
5. Required the program to hire a Board approved director no later than May 30, 2017.
6. Required the program to obtain Board approval prior to the admission of each class.
7. Required the program to provide no less than one (1) instructor for every ten (10) students in clinical experiences.
8. Required the director to submit follow-up reports at 3-month intervals. The reports to be submitted no later than June 1, 2017, September 1, 2017, December 1, 2017, and a final report submitted no later than March 1, 2018. The June 1, 2017 report must include specific actions taken to correct all violations as noted in this report. All reports must include an ongoing comprehensive analysis of the program. The school needs to reestablish the program to be in compliance with applicable regulations. The following elements must be addressed in the analysis:
a. Admission Criteria b. Screening and Selection Criteria c. Terminal Objectives d. Curriculum Objectives e. Instructional Plan approved by the Board (Final Version) f. Theory and Clinical Objectives for Each Course g. Lesson Plans for Each Course h. Textbooks as noted in course outlines and library resources i. Attendance Policy j. Remediation Policy k. Evaluations of Theory and Clinical Faculty l. Evaluations of Theory Presentations m. Evaluations of Clinical Rotations and Their Correlation to Theory
Presentations n. Documentation of adequate faculty o. Documentation of adequate clinical facilities p. Documentation of adequate skills lab supplies and equipment q. Documentation of available resources to provide students counseling
and tutoring services r. Documentation of Director’s office hours
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9. Continued the program’s requirement to comply with all approval
standards in Article 4 of the Vocational Nursing Practice Act, commencing at Business and professions Code Section 2880, and Article 5 of the California Code of Regulation, Title 16 commencing at Section 2526.
10. Failure to take any of these corrective actions may cause the full Board to revoke the program’s pre-approval status. In this case, the program would not be added to the Board’s list of approved programs and students would not be eligible to take the NCLEX-PN licensure examination.
• On July 5, 2017, an unannounced program visit was conducted. No evidence of correction of violations was identified.
• On July 11, 2017, the Board noticed the program of continued violations.
• On August 25, 2017, the Board approved the following amendment of the original recommendation of the report.
1. Extended the provisional approval of the Advanced Medical School of Nursing,
Pittsburg, Vocational Nursing Program, for three months from August 2017 through November 2017.
2. Placed the program on the November 17, 2017 Board agenda for reconsideration of provisional approval.
3. Require the program to submit a plan to correct all remaining violations, due no later than September 2, 2017.
4. Required the program to obtain Board approval prior to the admission of each class.
5. Continued to require the program to provide no less than one (1) instructor for every ten (10) students in clinical experiences.
6. Continued to require the director to submit follow-up reports at 3 month intervals. The reports to be submitted no later than September 1, 2017, December 1, 2017, and a final report submitted no later than March 1, 2018. The June 1, 2017 report must include specific actions taken to correct all violations as noted in this report. All reports must include an ongoing comprehensive analysis of the program. The school needs to reestablish the program to be in compliance with applicable regulations. The following elements must be addressed in the analysis. A. Admission Criteria B. Screening and Selection Criteria C. Terminal Objectives D. Curriculum Objectives E. Instructional Plan approved by the Board (Final Version) F. Theory and Clinical Objectives for Each Course G. Lesson Plans for Each Course H. Textbooks as noted in course outlines and library resources I. Attendance Policy
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J. Remediation Policy K. Evaluations of Theory and Clinical Faculty L. Evaluations of Theory Presentations M. Evaluations of Clinical Rotations and Their Correlation to Theory
Presentations N. Documentation of adequate faculty O. Documentation of adequate clinical facilities P. Documentation of adequate skills lab supplies and equipment Q. Documentation of available resources to provide students counseling and
tutoring services R. Documentation of Director’s office hours
7. Continued the program’s requirement to comply with all approval standards in
Article 4 of the Vocational Nursing Practice Act, commencing at Business and professions Code Section 2880, and Article 5 of the California Code of Regulation, Title 16 commencing at Section 2526.
8. Failure to take any of these corrective actions may cause the full Board to revoke the program’s pre-approval status. In this case, the program would not be added to the Board’s list of approved programs and students would not be eligible to take the NCLEX-PN licensure examination.
• On November 17, 2017 the Full Board rendered the following decisions:
1- Extended the provisional approval of the Advanced Medical School of Nursing, Pittsburg, Vocational Nursing Program, for two years from November 30, 2017 through November 29, 2019.
2- Placed the program on the November 2019 Board agenda for reconsideration of provisional approval.
3- Required the program to obtain Board approval prior to the admission of each class.
4- Continued to require the program to provide no less than one instructor for every ten students in clinical experiences.
5- Continued to require the director to submit follow-up reports at six month intervals. The next report to be submitted no later than, April 2, 2018, followed with by a continued analysis due no later than October 2, 2018. The April 2, 2018, report must include specific actions taken to maintain correction of all violations as noted in this report, and correction of the remaining two (2) violations. All reports must include an ongoing comprehensive analysis of the program. The following elements must be addressed in the analysis:
a. Admission Criteria b. Screening and Selection Criteria c. Terminal Objectives d. Curriculum Objectives e. Instructional Plan approved by the Board (Final Version) f. Theory and Clinical Objectives for Each Course g. Lesson Plans for Each Course
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h. Textbooks as noted in course outlines and library resources i. Attendance Policy j. Remediation Policy k. Evaluations of Theory and Clinical Faculty l. Evaluations of Theory Presentation. m. Evaluations of Clinical Rotations and Their Correlation to Theory
Presentations n. Documentation of adequate faculty o. Documentation of adequate clinical facilities p. Documentation of adequate skills lab supplies and equipment s. Documentation of available resources to provide students counseling and
tutoring services t. Documentation of Director’s office hours
6- Continue the program’s requirement to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act, commencing at Business and Professions Code Section 2880, and Article 5 of the California Code of Regulations, Title 16 commencing at Section 2526.
7- Failure to take any of these corrective actions may cause the full Board to revoke the program’s pre-approval status. In this case, the program would not be added to the Board’s list of approved programs and students would not be eligible to take the NCLEX-PN licensure examination.
• On February 8, 2018 the Board rendered the following decisions: 1 Denied the director’s request to admit a class of 30 students to commence on
March 5, 2018, scheduled to graduate on March 29, 2019. 2 Required the program to obtain Board approval prior to the admission of each
class. 3 Continued to require the program to provide no less than one (1) instructor for
every ten (10) students in clinical experiences. 4 Continued to require the director to submit follow-up reports at 6-month intervals.
The next report to be submitted no later than, April 2, 2018, followed with by a continued analysis due no later than October 2, 2018. The April 2, 2018, report must include specific actions taken to maintain correction of all violations as noted in this report, and correction of the remaining two (2) violations. All reports must include an ongoing comprehensive analysis of the program. The following elements must be addressed in the analysis:
a- Admission Criteria b- Screening and Selection Criteria c- Terminal Objectives d- Curriculum Objectives e- Instructional Plan approved by the Board (Final Version) f- Theory and Clinical Objectives for Each Course g- Lesson Plans for Each Course h- Textbooks as noted in course outlines and library resources i- Attendance Policy j- Remediation Policy
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k- Evaluations of Theory and Clinical Faculty l- Evaluations of Theory Presentations m- Evaluations of Clinical Rotations and Their Correlation to Theory
Presentations n- Documentation of adequate faculty o- Documentation of adequate clinical facilities p- Documentation of adequate skills lab supplies and equipment q- Documentation of available resources to provide students counseling and
tutoring services r- Documentation of Director’s office hours
5 Continue the program’s requirement to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act, commencing at Business and Professions Code Section 2880, and Article 5 of the California Code of Regulations, Title 16 commencing at Section 2526.
6 Failure to take any of these corrective actions may cause the full Board to revoke the program’s pre-approval status. In this case, the program would not be added to the Board’s list of approved programs and students would not be eligible to take the NCLEX-PN licensure examination.
• On March 21, 2018 the Board approved a new program director
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Ike Muonekwu
From: "Jeffrey Tong" <jeffrey.tong@bellaken .com> Date: Thursday, November 09, 2017 4:51 PM To: "Ike Muonekwu" <[email protected]> Subject: Re: Clinical - Next L VN Class
Ii i [)r. Ike.
Our fac1l1ty will be available to your LI studen t s when the nc~ term s tar t s 1n \larch of 20 18. We l ook forwa rd to ha\ing them ct l our faci l tty for cl inicah, .
.lcffrer Tong Bel lc1ken C,irdcn ,md Ski l l crl t-.urs i ng Center
Tl11 s informati on and a11y ,1tt;ich111e11ts In this electronic: message may c:o11taIn rnr-.rlllE Tl I I. ;ind lcg11I ly protec 1cd 1nformat l()n under appl1c:11hlc lmL and Is in1endcd on l y for the use of the 1nd11'1clua l or cntilv namC'd 111Jore. I f you are not the add r essee and an intcnckd recipient. plCi:tsc do not rc11d. copy. use or disclose this comnIun1 cat 1on to others; you arc hereby notified that any d 1ssc1111 11at1on. copy or d1sc lusurc of this communication Is proh1b1tcd. If you have received this conunun 1cat Ion in error. please immediately purge it without making any cop) or d i st ributi on.
From : Ike Muonekwu <[email protected]> To: Jeffrey Tong <[email protected]> Sent: Wednesday , November 1, 2017 6:26 PM Subject: Clinical - Next LVN Class
Dea r Mr. Tong:
Good Morning. Thanks again for all your help We remain forever grateful.
Our next LVN class starts in March of 2018 and the Board wants us to reconfirm that your facility is st ill available for our student s. Please reply to this email
to indicate that our students can sti ll come to your facil ity for cl inical.
rhanks and have a great day
Best Regards Dr. Ike Muonekwu Director, Franchise & New Business DPv. Advanced Medica l Personnel, Inc 10 Mountain View Avenue, Ste. 1020 Bay Point, CA 911565 Phone: 925 458-4980 Fax: 925 261-9950 Web Site: www.iladvmed .com
I 1 / Q I')() I '7
VNJGOME
VNJGOME
VNJGOME
yes
Robert
li:l
HIPAA Compliance Notice: This email may contain health related information that is protected by federal and state laws and may be protected health information under HIPAA privacy law protections. Dissemination or disposal of protected health information may be done only in compliance with HIPAA and other applicable law.
From: Ike Muonekwu <[email protected]> Sent: Wednesday, November 1, 2017 6:07:30 PM To: Robert Mckenna
Subject: Re: Thank You
Dear Mr. Mckenna:
Good Morning. Thanks again for all your help. We remain forever grateful.
Our next LVN class starts in March of 2018 and the Board wants us to reconfirm that your facility is still available for our students. Please reply to this email to indicate that our students can still come to your facility for clinical.
Thanks and have a great
Best Regards Dr. Ike Muonekwu
Administrator Advanced Medical School of Nursing
11 /9/?017
Ike Muonekwu
From: "Adam Mitchell" <[email protected]> Date: Monday, November 06 , 2017 2:12 PM To: "Ike Muonekwu" <1ke@4amsn .com> Subject: Re: Clinical for LVN - Next Class
Yes, Dr. Ike we can continue with our agreement to use Windsor Rosewood Care Center as a clinical site for your school. Thanks- -Adam
Adam Mitchell Administrator T 925.935.6630 admitchel [email protected] Windsor Rosewood Care Center
HIPAA Compliance otice: This email may contain health related infonnation that is protected by federal and state laws and may be protected health information under HIP AA privacy law protections. Dissemination or disposal of protected health information may be done only in compliance with HIP AA and other applicable law.
From: Ike Muonekwu <[email protected]> Sent: Wednesday, November 1, 2017 6:12 PM To: Adam Mitchell
Subject: Clinical for LVN - Next Class
Dear Mr. Mitchell:
Best Regards Dr. Ike Muonekwu
Administrator Advanced Medical School of Nursing
) 1 /9/? 017
From: <Sujeeta. [email protected]> Date: Tuesday, November 07, 201711 :48 PM To: "Ike Muonekwu" <[email protected]> Subject: Re: Clinical - LVN, Next Class
Yes they can come . All depends on the student policy as well and the new manager coming to PHC .
Sent from my iPhone
On Nov 1, 2017, at 6:43 PM, Ike Muonekwu <[email protected]> wrote:
Dear Ms. Sukhu
Best Regards Dr. Ike Muonekwu Administrator Advanced Medical School of Nursing 10 Mountain View Avenue, Ste. 1020
Bay Point, CA Phone: 925-458-4980 Fax: 925-261-9950 web Site: www.4amsn .com
11 /9/ 0 I 7
From: "Margot Nijsure" <[email protected]> Date: Wednesday , November 08, 201 7 7:14 AM To: "Ike Muonekwu" <[email protected]>; "Maria N. Magat" <[email protected]> Subject: Re: Clinical : Next LVN Class
Yes you are welcome to return.
Sent from my Verizon, Samsung Galaxy smartphone
--- -- - -- Original message --------
From: Ike Muonekwu <[email protected]>
Date: 11/7 /17 4:28 PM (GMT-08:00) To: "Maria N. Magat" <[email protected]>
Cc: Margot Nijsure < [email protected] > Subject: Clinical: Next LVN Class
Dear Ms. Magat:
Good Afternoon. Thanks again for all your help . We remain forever grateful.
Best Regards Dr. Ike Muonekwu Administrator Advanced Medical School of Nursing 10 Mountain View Avenue, Ste. 1020 Bay Point, CA Phone: 925-458-4980 Fax: 925-261-9950 web Site : www.4amsn.com
11/0 /"lf\1"'1
From: "Schola Muonekwu" <[email protected]> Date: Wednesday , November 08, 2017 6:17 PM To: <[email protected]> Subject: Teaching L VN
Yes, 1 am still available to teach your LVN class starting in March of 2018.
Thanks
From: <[email protected]> Date: Wednesday, November 01 , 2017 6:34 PM To: "Ike Muonekwu" <[email protected]> Cc: "Love, Shirley" <[email protected]> Subject: Will be available to teach in March
Hello Dr. Ike Just to confirm I will be available to teach in March as previously discussed.
11 1onn17
Ike Muonekwu
From: "A. I" <[email protected]> Date: Wednesday , November 08, 2017 6:13 PM To: <[email protected]> Subject: 2018 L VN Class
Good evening, Yes I am available to teach your LVN class starting in March of 2018. Thanks. A.
Iphie, RN. Sent from my iPhone
11 /()/?()17
Agenda 16.C.1., Attachment C
PROGRAM UNANNOUNCED PROGRAM INSPECTION On April 11, and 12, 2017 (Tuesday and Wednesday), due to concerns identified regarding the program director, two (2) Board representatives conducted an unannounced program inspection of Advanced Medical School of Nursing, Pittsburgh, Vocational Nursing Program. Upon arrival at 9:30 a.m. the school was locked, the alarm system was ringing, and all lights were out. A call was made to the program’s administrative office to inform the owner that Board representatives were at the Pittsburgh Campus to conduct an inspection of the vocational nursing program. The owner was requested to ask the program director to meet us at the school. The owner arrived within 20 minutes. The program director never attended the two day inspection. The owner was presented with a list of documents and files to provide to the Board representatives for evaluation. The following list includes requested information that was not provided.
1- Complete attendance records 2- Evidence of make-up attendance hours 3- Evidence of student evaluation and progression;
a. Remediation/Probation b. Tutoring c. Clinical evaluations or skills check off sheets
4- Clinical site evaluation forms; 5- Faculty meeting Minutes; 6- Lesson Plans; 7- Approved facility files; and 8- Completed and scheduled clinical site placements for all terms.
The students’ class schedule and information provided by the owner specifies that students are scheduled Monday and Tuesday for theory, and Wednesday and Thursday for clinical. The owner was asked why the students were not currently in class as scheduled. He stated that there was an issue with the instructor and it had been rescheduled for Saturday. One hour later, the owner informed us that the reason the students were not in the class was because he was having the campus painted for the upcoming BPPE inspection. One hour later during a conversation with Ms. Grove, an approved instructor, she stated that for the last four (4) weeks, the eight (8) hour a day Monday and Tuesday classes have been rescheduled and provided to the students on Saturdays during a 12 hour class. An evaluation of the program was completed that consisted of a campus tour, evaluations of student files, and program policies, attendance records, available program documents,
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interviews with faculty and currently enrolled students, and the owner of the program. The program director did not come to the campus or call in as requested. During the evaluation of documents and conformation by students and the instructor, 15 violations of Article 5 of the Vocational Nursing Rules and Regulations were identified. Campus Tour The Advanced Medical School of Nursing, Pittsburgh, Vocational Nursing Program is located in an old elementary school. A tour of the campus was provided by the owner. The facility is old and has a moldy odor. There was a sign on the student bathroom that it is out of order. The only working bathroom had a sink, toilet, and running water, however the door hinges were broken and rusty and the door was very hard to close, there was no toilet paper, soap, or paper towels available for personal sanitary use. There is a room designated as the program director’s office with two filing cabinets, a desk and chair, computer, and phone. Support staff has an office with two (2) desks and chairs, and four (4) filing cabinets. Instructors Office The faculty room has six (6) desks and chairs to accommodate faculty, however, no computers, telephones, or printer were identified for instructor use.
Faculty room Library The program has a room identified as the library. The book shelves were bare, except for one shelf containing old VHS videos. There was no place or equipment identified in the library to view the videos. During the tour, the Board representatives were informed that the books had been moved so the painters could paint the library. According to information received during student interviews, no books have been supplied in the library for student use since they started program.
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Computer Lab The computer lab is located in the room next to the library. Upon arrival there were twelve (12) computer screens and five (5) desktop computers. When asked where the computers are that accompany the screens, the program owner stated they had been removed while the room is painted. At the end of the day there were computers at each station connected to the screen. At that time the Board representatives were told that the computers contain very sensitive information and had been removed from the skills lab for security reasons. According to the students, they had access to five (5) computers, which are very old and contain information that is not useful to for studying.
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Low Fidelity Mannequin Personal Care sup .. plies Linens and irrigation kits
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Medication Administration Supplies Patient beds Class Room The classroom is connected to the skills lab. The classroom lighting is good, and the area is clean. There is currently seating capacity for 18 students. Tables are arranged in long rows, there are adequate chairs for each enrolled student. There is a white board, projector for Power – Point presentations, a desk, chair and computer for the instructor’s use.
Class room Instructor desk
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Student Lounge The program has a student lounge that is equipped with a microwave, sink, and tables for the students to eat and study. Student Interviews All current students were interviewed at the clinical site, Windsor Manor. Students were very open and willing to talk with the Board representatives.
Students were asked how many days they can be absent, students seemed unsure, but a few agreed that they could miss 48 hours. The students stated they were unaware that they have to make up attendance for missed clinical and classroom hours. The students were asked if they felt they had adequate resources on campus to learn. The students stated that they used the skills lab to learn to bathe and position patients, and how to take vital signs. Students stated they have learned most of their skills directly on patients at the clinical site or through virtual learning assignments. All students stated that their first attempt with medication administration, including learning how to give injections has occurred at the clinical site on patients. Students stated that the library has never contained books and the computers in the computer lab are old and do not work well. Students stated that their schedule has changed from the initial Monday and Tuesday theory, and Wednesday and Thursday clinical, to Monday and Wednesday clinical and a twelve (12) hours theory day on Saturdays. The changes were made due to instructor availability. One student voiced this has caused issues with her job and family. It was not the hours she had contracted for. Students stated that the program schedule changes frequently. Instructor Interview The instructor stated that she initially taught theory and assisted with fundamental skills. When asked if she has access to the program instructional plan and lesson plans, she stated, “No, I know what they are because I teach at another college, but I have never seen the Instructional Plan here.” Additionally she stated, “When I taught theory I was provided only with the Power - Points I was too use that day.” The instructor was unable to identify the current term the students are presently in. She stated, “It is either Term two (2) or three (3), I am not sure.” (According to the program owner and the students they are currently in Term three (3) The instructor stated that none of the students can calculate medications, and are just learning how to administer medications. She stated that due to electronic documentation,
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last week was the first time she has had access to the medication cart. She was just provided with an access code by the facility electronic medication administration record (MAR) and documentation process. The instructor was asked about student progression and documentation of student ability to complete clinical and lab skills. The instructor responded that she had never seen the student skills check off sheets for the students, and has never evaluated or documented student abilities in completing skills lab or clinical objectives. The instructor informed Board representatives that she had been directed by program leadership, that she is not to send students home or address students being late to class. Additionally, if students want to take an hour for lunch it is ok. She stated she was told not to come to clinical on Monday April 10, 2017, because a new instructor was taking her place. She was called on Tuesday April 11, 2017, to go to clinical on Wednesday, because the new instructor did not start. Students missed clinical on Monday April 10, 2017, due to no instructor. Attendance During the program inspection the owner provided folders of attendance sheets. It was identified that attendance sheets for October 2016 and April 2017 were missing. Additionally, there were sheets provided with dates with no student signatures for attendance, and attendance sheets that had a line drawn through it stating class canceled by administration. On the sheets provided it was identified that some students had missed up to 117 hours of the program. On many of the attendance sheets, Board representatives were unable to determine if the attendance sheets were theory, or clinical. Through discussion with the current theory instructor it was identified that the eight (8) hours days for Monday and Tuesday have been replaced with a twelve (12) hour day on Saturdays. This procedure has reduced the class time for an additional 4 hours per week for the last four (4) weeks.
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