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32 | AD Borromeo stated that staff complete required annual training, which is monitored and reviewed during annual licensing inspections. She further reported that all staff will complete their annual training requirements by the next annual inspection, consistent with prior inspection reviews. When asked if there were any forged, altered, or duplicated training certificates or records, AD Borromeo denied any falsification of records and advised that Licensing may contact the training vendor for verification.
LPA interviewed two staff present at the facility during the visit. Both staff were recently hired and had not yet reached their one-year employment anniversary. Review of Regional Center regulations confirms that Direct Support Professional (DSP) training must be completed within one (1) year of hire. Therefore, the staff were still within the allowable time frame for completion. Both staff reported receiving on-the-job training and annual training. LPA reviewed personnel files and verified documentation of completed medication training and required annual training components. AD Borromeo explained that due to staff turnover, she prioritizes critical trainings, including medication administration and annual mandatory trainings, upon hire. LPA also reviewed training records for senior staff and verified completion of required annual DSP training hours.
At the time of the complaint, all staff training reviewed was current and valid. LPA further verified training documentation directly with the training vendor. LPA spoke with Taylor Dalhquist, Vice President of Operations, who confirmed that the training dates for the staff in question were valid and properly certified. She also confirmed that the Administrator maintains an annual training subscription, billed monthly, to ensure staff remain compliant with Licensing and Regional Center training requirements.
Based on interviews conducted, record reviews, and third-party verification of training documentation, there is insufficient evidence to support the allegation that the licensee does not ensure staff have required training. Therefore the allegation mention above has been determined as UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis.
No deficiencies cited at this time and an exit interview was conducted with Administrator (AD) Marlene Borromeo. A copy of the report was provided to the facility. |