Complaint Investigation Report

LPA reviewed the personnel files for S1, S2, and S3, which confirmed that:

S1 was employed for eight (8) months without valid CPI certification.

S2 was employed for four (4) months without valid CPI certification.

S3 was employed for approximately three (3) months without valid CPI certification.

Interview with the Administrator revealed that the Office Manager did not provide timely reminders to staff regarding CPI certification expiration dates. The Administrator further disclosed that monthly in-service training is conducted; however, documentation such as training materials and sign-in sheets had not been maintained. LPA conducted interviews with three (3) staff members, all of whom confirmed having received on-the-job training. However, due to the lack of supporting documentation, including training materials and sign-in sheets, the facility was unable to demonstrate compliance.

Based on the interviews conducted, documentation reviewed, there is sufficient evidence to substantiate the allegation that facility staff did not comply with training requirements. Therefore, this allegation is deemed Substantiated at this time.

Exit interview conducted, citation issued, appeal rights given, and copy of this report delivered.