Misfiled, lost or unavailable at the time of visit records. Destruction of records. There is a written confidentiality policy. There is a current organizational chart which shows the lines of responsibility and authority. There is an appropriate job description for each position.
Personnel hold the appropriate credentials and experience for their position.
The agency has written personnel policies. Licensure and certification is verified and documented in the personnel record. Health care personnel have completed a CPR course within the last two years. Clinical practice is supervised by a registered nurse or physician. There is a policy to provide continuing education and staff development.