Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00104345 Renewal 12/01/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)The physical examination for Individual #1, completed on 4/20/16, did not include medical information pertinent to diagnosis and treatment in case of an emergency. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. On 1/20/17 the Medical Coordinator called and faxed a request for an addendum from the doctor to state whether or not each individual cited requires medical information pertinent to diagnosis and treatment in case of emergency. This will occur for all other individuals as well. The Medical Coordinator and Compliance Director were trained on 12/5/16 on the regulation and process moving forward to ensure compliance. The Medical Coordinator will review the Annual Physical upon completion and turn it in to the Program Director for further review prior to being filed in the ABDD Medical Charts to assure that the Annual Physical includes and the section is completed to meet the regulation. The Medical Coordinator will ensure the current and valid Annual Physical form is available prior to each appointment. If the Annual Physical form returns and it not the current form or the section has not been completed, the staff member who accompanied and turned in the Annual Physical form will be retrained and/or reprimanded. The Annual Physical form will immediately be returned to the physician for proper completion by the Medical Coordinator, then the process will begin again. The Compliance Director will review a sample (15) of Annual Physicals every three months again to assure that the regulation is in compliance. The Medical Coordinator changed the Annual Physical to include the regulation to meet compliance on 12/2/16. 01/28/2017 Implemented
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