The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.
At the time of the Renewal Inspection conducted on 09/26/2025, the files for Staff Person #2 and Staff Person #6 did not contain verification of the completion of Emergency Plan training.