- Date
- 7/28/2022
- Report number
- OR0003701901
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Based on interview and record review it was confirmed that facility failed to have a training program that includes methods to determine competency of direct care staff. Findings include but not limited to: During an interview with Staff #6 (S6) they stated that they did not recall any staff competency checklist being completed prior to working independently. They reported that they had to walk out on their first shift because the other staff member sat in the break-room for a large portion of the shift. When they returned several days later, they worked without supervision on their third day. During an interview with Staff #8 they reported that S6 worked the first shift independently on 05/15/2022 which was confirmed on their calendar. A review of S6's training documents revealed that training competencies were not completed and initialled until 05/17/2022.