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32 | Allegation: Staff did not complete required training.
It is being alleged that not all caregivers have completed the required ongoing training. On 05/28/26 11am-12pm LPA conducted interviews with S1-S5 regarding the allegation above. 5 of the 5 staff interviewed denied the allegation above and reported that upon hire Reliase training is required before "on the floor" training can begin. Additionally, 5 of the 5 staff interviewed reported that all staff have monthly Reliase training's in addition to in-services. On 05/28/26 LPA conducted a review of training logs for S6-S11. Per Reliase transcripts and in- service sign in sheets, S6-S11 have completed required training's for 2026 thus far.
Allegation: Staff are not conducting fire drills.
It is being alleged that fire drills have only been conducted on the day shift and have not been completed on all shifts as required. On 05/28/26 11 am-12pm LPA conducted interviews with S1-S5 regarding the allegation above. 5 of the 5 staff interviewed denied the allegation above and reported that drills are conducted quarterly and are conducted during every shift. On 05/28/26 LPA conducted telephone interview with W1 regarding the allegation above. W1 denied the allegation above and reported that drills are conducted quarterly and are conducted in the morning, evening, and night shifts. Furthermore, W1 confirmed that the last drill conducted during all 3 shifts was done on 05/19/26. On 05/28/26 LPA conducted a review of quarterly drill reports dated: 01/20/26. Upon review LPA observed that the quarterly fire drills were conducted at 1:00pm, 2:30pm, and 11:30pm, the quarterly disaster drills were conducted at 1:10pm, 2:40pm, and 11:40pm, and the quarterly evacuation drills were conducted at 1:30pm, 2:50pm, and 11:50pm.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Exit interview conducted, and a copy of this report was provided.
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