| 6400.15(a) | A self-inspection was completed on 1-22-2014, and the agency's certificate expires on 4-20-2014. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| We are unable to correct this violation. To prevent this from occurring in the future, Program Director will indicate required completion date on the blank self-inspection tool and require their return to the office prior to that date. |
05/19/2014
| Implemented |
| 6400.31(b) | The most recent statement signed and dated by Individual #1 informing him/her of their rights was dated 1-17-2013. | Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. | Community Care Connections sent a second request to individual #1's guardian on 05/19/2014. A copy of the request will be maintained in the individual file. Signatures on statements are typically obtained, in person, at annual meetings. During this instance, The guardian did not return the statement. We will forward a copy of Individual #1's signed consents as soon as we receive the document. To prevent this from occurring in the future, the PS will: Continue to obtain statements "in-person" when able. However, if the statement is not immediately signed and returned, the PS will document in the individuals file that it was presented. If the statement is not received within 4weeks and second copy and request will be sent. |
06/15/2014
| Implemented |