Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.181(c) | Individual #1's assessment completed on 2/16/15 did not include the baises for assessment. | The assessment shall be based on assessment instruments, interviews, progress notes and observations. | The Program Specialist has updated Individual #1's 2/16/15 assessment to include the basis for assessment. Attachment 4 - copy of Ind # 1 assessment dated 2/16/2015. The Program Specialist has been retrained on the proper content and completion of the Individual assessment. Attachment 5: Program Specialist Training. |
09/04/2015
| Implemented |
6400.181(e)(13)(iii) | Individual #1's assessment did not include the progress over the last 365 calendar days and current days and current levels in activities of residential living. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. | The Program Specialist has updated Individual #1's assessment to include the progress over the last 365 days and current days and current levels in activities of residential living.. Attachment 6: Ind # 1 Assessment dated 9/8/15. The new updated assessment has been provided to the team . Attachment 7: Assessment Team Letter. The Program Specialist has received training on the required Assessment content to prevent this issue from occurring again. Attachment 5: Program Specialist Training |
09/08/2015
| Implemented |
6400.181(e)(13)(iv) | Individual #1's assessment did not include the progress over the last 365 calendar days and current days and current levels in personal adjustment. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment. | The Program Specialist has updated Individual #1's assessment to include the progress over the last 365 days and current days and current levels in Personal Adjustment. Attachment 6: Ind # 1 Assessment dated 9/8/15. The new updated assessment has been provided to the team . Attachment 7: Assessment Team Letter. The Program Specialist has received training on the required Assessment content to prevent this issue from occurring again. Attachment 5 |
09/08/2015
| Implemented |
6400.181(e)(13)(v) | Individual #1's assessment did not include the progress over the last 365 calendar days and current days and current levels in socialization. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. | The Program Specialist has updated Individual #1's assessment to include the progress over the last 365 days and current days and current levels in socialization. Attachment 6: Ind # 1 Assessment dated 9/8/15. The new updated assessment has been provided to the team . Attachment 7: Assessment Team Letter. The Program Specialist has received training on the required Assessment content to prevent this issue from occurring again. Attachment 5 Program Specialist Training |
09/08/2015
| Implemented |
6400.181(e)(13)(viii) | Individual #1's assessment did not include the progress over the last 365 calendar days and current days and current levels in managing personal property. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. | The Program Specialist has updated Individual #1's assessment to include the progress over the last 365 days and current days and current levels managing personal property. Attachment 6: Ind. # 1 Assessment dated 9/8/15. The new updated assessment has been provided to the team . Attachment 7: Assessment Team Letter. The Program Specialist has received training on the required Assessment content to prevent this issue from occurring again. Attachment 5 Program Specialist Training |
09/08/2015
| Implemented |
6400.181(e)(13)(ix) | Individual #1's assessment did not include the progress over the last 365 calendar days and current days and current levels in community-integration. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration. | The Program Specialist has updated Individual #1's assessment to include the progress over the last 365 days and current days and current levels in community -integration.. Attachment 6: Ind # 1 Assessment dated 9/8/15. The new updated assessment has been provided to the team . Attachment 7: Assessment to Team Letter. The Program Specialist has received training on the required Assessment content to prevent this issue from occurring again. Attachment 5 |
09/08/2015
| Implemented |
6400.186(c)(2) | Individual #1's ISP reviewed a new outcome "relationships" was to start on 3/1/15 but was not being reviewed on documentation until 6/25/15. | The ISP review must include the following: A review of each section of the ISP specific to the residential home licensed under this chapter. | The updated ISP 3 month review for Individual # 1 is completed and attached. The outcome "Relationships" is directed at events occurring only at day program and not residentially. A request to the Support Coordinator asking for Mattern Houses removal as a responsible party has been submitted, showing Mattern House as not responsible and a copy of the Quarterly Review to team showing the summary of the issue. Attachment 1: ISP 3 month Review Attachment 2: Letter to SC providing review and right to decline. Attachment 3: Notice to Support Coordinator requesting change. |
09/09/2015
| Implemented |
6400.186(e) | Individual #1's record did not include an option to decline the ISP review documentation. | The program specialist shall notify the plan team members of the option to decline the ISP review documentation. | The option to decline the ISP review documentation has been added to the cover letter for the 3 month review by the Program Specialist and has been sent with Individual #1's 3 month review. Attachment # 2: Letter to SC offering right to decline. The Program Specialist will assure that all team members are afforded the opportunity to decline at each 3 month review using the attached template.. |
09/09/2015
| Implemented |