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|OPTIONS BEHAVIORAL HEALTH SYSTEM||5602 CAITO DRIVE INDIANAPOLIS, IN 46226||Jan. 14, 2021|
|VIOLATION: SUPERVISION OF CONTRACT STAFF||Tag No: A0398|
|Based on document review and interview, Nursing Administration failed to ensure completion of CPI (Crisis Prevention Intervention) training in 6 of 14 (N5, N6, N8, N11, N12 and N14) personnel files reviewed.
1. Review of policy titled: Restraint for Inpatient Acute Programs last Revised 01/2019 indicated under Staff Training that "...staff will be required to demonstrate competency in the use of CPI on a semiannual basis".
2. Review of Personnel files indicated that 6 of 14 personnel files reviewed lacked documentation of current CPI due every 6 months: N5 and N6 (each a Registered Nurse), N8 (Intake Coordinator), N11, N12 and N14 (each a Behavioral Health Assistant/Technician [BHA/BHT]).
3. Interview on 01/14/21 at 3:15 pm with P50 confirmed lack of current CPI training in N5, N6, N8, N11, N12 and N14's personnel files.