Complaint Investigation Report

Allegation: Staff are not adequately trained.

It is alleged that staff are not adequately trained. It is reported that staff do not have the appropriate training for all staff to include CPR/First Aid training. A visit was conducted at the facility on 3/10/25 by a third party entity where it was discovered that staff did not have appropriate documentation to provide direct client care and supervision. LPA interviewed Administrator and it was revealed that one of the staff members was in training and had previously refused to sign paperwork due to personal reasons, hence the missing and incomplete documentation. Administrator also stated that this same staff member resigned on 03/31/25 and is no longer employed at the facility. LPA explained to Administrator that unless staff is adequately trained, they cannot provide direct care to clients. LPA reviewed staff files, and it was observed that two (2) out of the two (2) staff that were present at the facility on 3/10/25 did not have valid CPR/First Aid training. One (1) staff member had CPR/First Aid that had expired on 02/16/25 and one (1) staff member had no proof of CPR/First Aid training until 03/10/25. Therefore, based on interviews, file review and observations, this allegation is deemed substantiated.

Citation issued. Appeal rights discussed and provided. Exit interview conducted and a copy of report given to Administrator.