| 6400.163(c) | The three month review for Individual #1 dated 8/8/14 did not include the reason for prescribing the medication and the necessary dosage. The three month review for Individual #1 dated 5/8/14 did not include the necessary dosage. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | Documentation was obtained from Western Psych on 9/11/2014. The manager was retrained on 9/16/2014. Documentation will be forwarded to verify training. The program coordinator will review paperwork after each psychological to assure it has been correctly completed. |
11/07/2014
| Implemented |
| 6400.213(13) | The record for Individual #1 did not include a psychological evaluation. Individual #1 is being treated for Impulse Control disorder, NOS. | Each individual's record must include the following information: Copies of psychological evaluations, if applicable. | Psychological was obtained on 9/11/2014 from the SC. Our quality assurance coordinator is currently auditing all records to assure psychologicals are present for all individuals served. Audit was completed on 10/6/2014. This item will be included in our rolling record review. |
11/07/2014
| Implemented |