Complaint Investigation Report

Regarding the allegation: Licensee failed to have qualified staff working at the facility

It was alleged that staff did not receive sufficient training to perform their job duties. Interviews conducted and records review revealed that staff training consists of online training (software: Relias), monthly in-service training, and shadowing. In addition, interviews revealed that in general, staff agreed that their first few weeks at the facility included shadowing more experienced employees coupled with online training. Staff supported claims that they felt sufficiently trained and qualified to perform their job duties. Documents reviewed demonstrated that staff have specific training benchmarks that must be met within 30 days, 90 days, 6 months, and annually. The LPA audited personnel records and identified that the majority of staff received over 20 hours of training in less than a year. The LPA reviewed the facility’s personnel policies, which aligned with the regulatory standard of care staff receiving a minimum of 20-clock-hours of continuing education per year. A review of training documents confirmed that the direct care staff exceeded the minimum requirement. Based off records review and interview, there is insufficient evidence to support the claim that staff are not qualified to work at this facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above-mentioned claim, therefore the allegation is deemed Unsubstantiated at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.