Failure to Provide Annual QAPI Training to Staff
Penalty
Summary
The facility failed to ensure that two employees, a CNA and an LVN, received annual training on the Quality Assurance and Performance Improvement (QAPI) program as required. Review of personnel records and training logs for both staff members, who were hired in 2020, showed no evidence of QAPI training within the previous 12 months. The human resources representative confirmed that the facility uses an online training system to assign and track trainings, and that it is the responsibility of both the employee to complete and HR to ensure completion of required trainings. However, the system did not ensure that these two staff members completed their annual QAPI training. Further interviews revealed that the facility did not have a policy specifying required annual training topics, including QAPI, nor did it outline the timeframes for completion or assign responsibility for ensuring completion. The administrator and HR representative both indicated reliance on the online system and assumed responsibilities, but no documentation or policy was provided to clarify these requirements. As a result, the facility did not provide the necessary annual QAPI training to the identified staff members.