Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.181(e)(13)(ii) | There was no progress and growth listed on Individual #3¿s assessment dated 7/16/13 in the areas of motor and communication. | (13) The individual's progress over the last 365 calendar days and current level in the following areas: (ii) Motor and communication skills.
| Individual#3¿s assessment was amended to include progress and growth specific to motor and communication skills. A revised, standardized Annual Assessment form was developed and includes the missing skill areas that will need to be responded to by the Program Specialist. Training for all Program Specialists on the proper items to be included in the Annual Assessment and on the new form occurred on 1/23 and 1/24/2014. The Assistant Residential Directors will monitor compliance with this regulation |
01/31/2014
| Implemented |
6400.181(f) | Individual #3's ISP meeting was held on 7/15/13; the assessment was dated 7/16/13. | (f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
| Going forward all Program Specialists will ensure that annual assessments are distributed to the SC and plan team members 30 days prior to an ISP meeting for the development, annual update and revision of ISP¿s. If the Program Specialist is unable to comply with this due to inadequate time notification of the plan meeting by the SC, the Program Specialist will document the discrepancy in the individual¿s chart. Oversight of this requirement will be addressed by the Assistant Residential Directors for consistency purposes. Training for Program Specialists occurred on 1/23 and 1/24/2014 and included proper protocols for timely dissemination of the annual assessment. |
01/31/2014
| Implemented |
6400.185(b) | Individual #3's ISP dated 10/20/12, list community life , social recreation, mental health support, and having a birthday party as needs; these outcomes were not implmented as written. | (b) The ISP shall be implemented as written.
| All current services and supports as identified in the ISP for individual #3 are being implemented as written. Specifically, the ISP goal areas identifying: community life, social recreation, mental health support, and having a birthday party are being implemented as written in the ISP. Training occurred on 1/23 and 1/24/2014 with the site manager/program specialist responsible for individual #3 as well as with all current site managers and program specialists. Assistant Residential Directors will monitor for compliance with this regulation. |
01/31/2013
| Implemented |
6400.186(d) | Individual #3's ISP reviews dated 1/20/13, 4/20/13, 7/20/13 and 10/20/13 were not fowared to the Supports Coordinator. | (d) The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting.
| ISP Reviews for individual #3 that were not sent to the SC and plan team members ((1/20/13, 4/20/13, 7/20/13, 10/20/13) were forwarded and documentation of transmittal was kept. Training occurred on 1/23 and 1/24 with the site manager/program specialist responsible for individual #3 as well as with all current site managers/ program specialists to maintain documentation that SC and Plan Team members were sent ISP review documentation. Compliance with this regulation will be monitored by Assistant Residential Managers. |
01/31/2014
| Implemented |