| 6400.67(a) | Floors, walls, ceilings, and other surfaces shall be in good repair. The door located behind the upstairs bathroom door had a hole in it approximately the size of a baseball. The hole appears to be from the bathroom door handle hitting the door located directly behind the bathroom door when the bathroom door is opened. | Floors, walls, ceilings and other surfaces shall be in good repair. | Maintenance Request entered for completion of cited concern and issue was resolved on June 16, 2023. . Effective July 1, 2023 a quality assurance audit process has been implemented to increase oversite by requiring multiple levels of leadership to audit, monitor and review all locations to ensure compliance. Both the area Director and Coordinator were trained on this new process on June 14, 2023 by the Executive Director. Program Manager and Case Managers will be trained by the Program Director by July 30, 2023 |
07/30/2023
| Implemented |
| 6400.32(r) | An individual has the right to lock the individual's bedroom door. Individual #1, Individual #2, and Individual #3 did not have locks on their bedroom doors. | An individual has the right to lock the individual's bedroom door. | Maintenance Request entered for completion of cited concern and keypad doorknobs will be installed by July 30, 2023. Effective July 1, 2023 a quality assurance audit process has been implemented to increase oversite by requiring multiple levels of leadership to audit, monitor and review all locations to ensure compliance. Both the area Director and Coordinator were trained on this new process on June 14, 2023 by the Executive Director. Program Manager and Case Managers will be trained by the Program Director by July 30, 2023 |
07/30/2023
| Implemented |