| 6400.31(a) | Individual #1 was informed of the individual's rights on 12/10/15 and then again on 1/9/17. | 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 individual¿s rights, Voting Rights, and Grievance Procedures will be reviewed and signed each year with the individuals when their annual assessments are completed. During the audit scheduled for 8/8/17, dates of Rights and assessments will be checked. Resident Managers and Program Specialists will schedule assessments and rights reviews to be completed assuring that each meets the regulatory annual requirement.
Quarterly chart audits- completed one time every three months by house managers to ensure all necessary items are in individual big books and that all forms are completed correctly and thoroughly. Audits are completed at Manager¿s team meetings under the supervision of the Program Specialists and the Program Director. Deficit areas will be identified at the time audits are completed and any missing items/signatures will be completed at that time.[Immediately, the program specialist or designee shall update Individual #1's record to include a current, dated photograph. Within 60 days of receipt of the plan of correction, the program specialist will audit all individuals' records to ensure all personal information is included. Documentation of audits shall be kept. At least quarterly, for 1 year, the CEO or designee shall review a 10% sample of "SLS Record Audit" forms to ensure individuals are informed of the individual's rights, timely. (AS 8/10/17)] |
07/31/2017
| Implemented |