Complaint Investigation Report

These requirements include that all direct care staff shall have graduated from high school or possess a GED and have a minimum of one year of full-time experience, or its part-time equivalent, working in a program serving persons with mental disabilities. Such experience shall be in direct services to clients. If the employee does not have the required experience, the program shall document a specific plan of supervision and in-service training for the employee which will guarantee the ongoing qualification of the employee to perform the job. The Department reviewed the resumes for both S1 and S2. The Department observed that S1 did not have experience serving persons with mental disabilities. The Department observed that S2 only had three months of experience serving persons with mental disabilities. Since S1 and S2 do not have the required one year of full-time experience, a plan of supervision is required to ensure the ongoing qualifications of both staff to perform the job. However, the Department observed that there were no plans of supervision on file for either employee. The Department conducted two staff interviews. Two out of the two staff interviewed confirmed that S1 and S2 did not have a plan of supervision.

Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the allegation that, facility staff do not meet the minimum qualifications required . The preponderance of evidence standards has been met; therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited on the attached LIC9099-D page. An exit interview was conducted with Administrator Gregory Rosenbaum and Director of Quality & Compliance Catherine Mann. A copy of the report and Appeal Rights were provided.