Failure to Provide and Document Annual Infection Control Training for Staff
Penalty
Summary
The facility failed to ensure that annual infection control training was completed for two employees, a CNA and an LVN, as required by its infection prevention and control program. Review of personnel records and training logs for both employees, who were hired in 2020, showed no evidence of infection control 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 the training and human resources to ensure completion. However, the system did not ensure that these two staff members completed their required annual infection control training. Further interviews revealed that the facility did not have a policy specifying required annual training topics, including infection control, nor did it outline the timeframes for completion or assign responsibility for ensuring completion. The administrator stated that staff receive email notifications for assigned trainings and are expected to complete them, but there was no formal policy in place to guide or enforce this process. The lack of documentation and policy contributed to the failure to provide and track required annual infection control training for the identified staff members.