Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.31(a) | Individual #1, admitted on 5/8/14, was not informed of her rights upon admission. | Each individual, or the individual's parent, guardian or advocate, if appropriate, shall be informed of the individual's rights upon admission and annually thereafter. | The Statement of Rights is reviewed with the individual/individual's parent/guardian upon admission to Residential Services. In the case of Respite Care services, the Statement of Rights will be reviewed with the individual on the first day of Respite Care services and then again on the 32nd day of Respite Care services. If Respite Care services continue past that time period until waiver monies are available to the individual for Residential admission, the Statement of Rights will be reviewed again with the individual/individual's parent/guardian upon admission date. The Statement of Rights is then reviewed annually as part of the annual resign packet. A dFs supervisor is responsible for reviewing the Statement of Rights with the individual. |
10/17/2014
| Implemented |
6400.141(c)(7) | Individual #1, admitted on 5/8/14, did not have a gynecological examination until 9/2/14. | The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. | dFs will continue to follow the Policy and Procedure for Admission and On-Going Health Physicals. Supporting documentation is attached. Also, on 10-9-14, it has been added in the Policy and Procedure what will occur for Emergency Respite. Highlighted on the supporting documentation. The health Service Coordinator is responsible for assuring that this Policy is followed through for all individuals receiving residential services. |
10/16/2014
| Implemented |
6400.141(c)(8) | Individual #1, date of birth 8/31/49, was admitted on 5/8/14 and did not have a mammogram within the past year. | The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. | dFs will continue to follow the Policy and Procedure for Admission and On-Going Health Physicals. Supporting documentation is attached. Also, on 10-9-14, it has been added in the Policy and Procedure what will occur for Emergency Respite. Highlighted on the supporting documentation. The health Service Coordinator is responsible for assuring that this Policy is followed through for all individuals receiving residential services. |
10/16/2014
| Implemented |