| 6400.113(a) | Individual #1, date of admission 2/23/17, was instructed in fire safety on 3/16/17. | An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. | Twin Trees, Inc. has revised the Admission Policy to include fire safety training to be completed immediately upon admission. Documentation of the fire safety training will also be added to the admission form. This training will be completed on the date of admission by the Program Specialist and the Individual will then receive fire safety training annually thereafter. [Immediately, the CEO or designee shall develop and implement a tracking system to ensure timely completion of fire safety trainings. At least quarterly for 1 year, the CEO or designee shall audit a 25% sample of fire safety training documentation to ensure timely completion. Documentation of audits shall be kept. (AS 12/22/17)] |
12/20/2017
| Implemented |