(1) The facility is responsible for maintaining a file on each employee and substitute personnel. Employee files may be inspected by the department at any time. If the file is not maintained at the facility it must be available to the department within 24 hours of request.
(2) At a minimum, the employee file must contain:
(a) the employee's name;
(b) a job description signed by the employee;
(c) documentation of employee orientation, signed by the employee; and
(d) a copy of current credentials, certification, or professional licenses required to perform the duties described in the job description.
(3) Volunteers may be utilized at a health care facility, but may not be included in the facility staffing plan in lieu of employees. All volunteers who are performing duties which are commonly performed by facility staff must have a file which is maintained at the facility and documents the following:
(a) orientation to the facility and its residents; and
(b) orientation to and training of the duties to be performed.