Observations
Based on a review of the Staffing Requirements Facility Summary Report (SRFSR) and personnel records, the facility failed to provide a written individual training plan for each employee in the required time frame, appropriate to that employee's skill level in one out of six employee records reviewed.
Employee #4 was hired on January 8, 2024 as a counselor and was still in the position as of the date of the inspection. The plan was due no later than February 8, 2024; however, it was not completed until June 10, 2024.
This finding was reviewed with the facility staff during the licensing process.
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Plan of Correction
An onboarding checklist for new employees has been created to include timeframes for completion. Applicable training/onboarding documents will be uploaded and stored in electronic training system. Onboarding documents will require review by Executive Director for all new employees. |