Complaint Investigation Report

Allegation: Facility administrator is falsifying facility staff certificate(s) training. It was alleged that the administrator is falsifying Crisis Prevention Institute (CPI), Direct Support Professional training year 1 (DSP1), and Direct Support Professional training year 2 (DSP2) certificate(s). To investigate this allegation, LPA Rios conducted an initial complaint visit on 02/28/2023 and from 12:00 p.m. to 1:45 p.m. LPA interviewed house manager at the time Jermarcus Dumas, staff #1(S1), reviewed records, obtained copies of staff training certificates for DSP1, DSP2 and blue cards for CPI. Interview with house manager and S1 on 02/28/2023 denied the allegation stating they completed their own training. LPA review of training records did not observe copy of certificates to be altered. LPA's review of twelve(12) staff’ records and training certificate on 02/28/2023 for DSP1 and DSP 2 observed training certificates to differ in appearance with how long ago the training was taken compared to training completed in recent years. LPA could not find staff records for name of staff mentioned on complaint. According to administrator on 04/29/2024 staff mentioned to have worked at facility did not always work at this facility but at another facility. LPA Interview with the administrator at the time, Tasha Kanaley, on 04/29/2024, also stated they did not ask staff to send their training certificates in order to alter the certificates and put another staff member's name on the training document. Interviews with Tasha and administrator Jermarcus on today's visit continue to deny the allegation. LPA Rios was unsuccessful with attempts to contact staff mentioned on complaint. LPA made attempts to call the facility’s CPI instructor on 02/28/2023 and 05/06/2024. LPA did not receive a return call at that time. On 05/01/2024 LPA emailed copies twelve (12) staff blue cards to Crisis Prevention Institute for verification. On 05/02/2024 the Certified Instructor Records Specialist (CIRS) for CPI informed LPA the training could not be verified as the names on the cards were not found on CPI’s database as having completed training. On 05/02/2024 Tasha Kanaley provided LPA with the instructor’s full name and verified telephone number. On 05/07/2024 LPA was able to reach the instructor and sent copies of blue cards provided to LPA by facility. CPI instructor informs LPA the signature is theirs, but they did not sign the cards. Furthermore, the CPI instructor on 05/07/2024 and CIRS on 05/02/2024 both stated not verbatim, the blue cards are issued with numbers, which the ones provided do not have and the information on the card such as name and hours are handwritten and not typed as they appear to be on the CPI blue cards provided by the facility.

Based on facilities own copies of CPI documentation provided to LPA on 02/28/2024, the Certified Instructor Records Specialist (CIRS) for CPI and the facility’s instructor both stated not verbatim they believed the CPI blue cards to be forged. The determination for the allegation; facility administrator is falsifying facility staff certificate(s) training is Substantiated.

Deficiency cited (refer to LIC9099-D). Appeals discussed and provided. Copy of report provided.