Failure to Ensure Required Staff Training for Director of Culinary Services
Penalty
Summary
The facility failed to develop, implement, and maintain an effective training program for all new and existing staff, including those under contract and volunteers, as evidenced by the lack of required training for the Director of Culinary Services. Personnel records showed that the Director of Culinary Services, hired on 01/13/25, did not have documentation of completed training on HIV, restraint reduction, fall prevention, resident rights, behavioral health, or infection prevention and control. Interviews revealed that the Director of Culinary Services was unaware that these trainings were incomplete and admitted to not knowing about the required topics. The HR Director stated that managers were responsible for completing their own trainings after receiving email notifications, but confirmed that the Director of Culinary Services had not completed any required trainings. Further interviews indicated a lack of clarity and oversight regarding responsibility for ensuring completion of mandatory trainings, with the Administrator and the Regional Director of the contract food company each suggesting the other party shared responsibility. The facility's staff development policy required all employees to complete specific training courses annually, with non-compliance potentially resulting in corrective action. However, the policy was not effectively enforced in this case, resulting in the Director of Culinary Services not receiving essential training as required by facility policy and regulatory guidelines.