| 6400.15(a) | The self-assessment completed 11/29/2023, was not conducted within 3 to 6 months prior to the expiration date of the agency's certificate of compliance and did not include regulations 6400.11 to.6400.52c6 and 6400.151a to 6400152c. They were blank. | 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.
| The new Residential Director and the Clinical Manager will receive training on the self-assessment, including the timeframe requirement, by the SVP of Program Operations by 1/5/24. A new self-assessment will be completed for all homes by the Residential Director and/or Clinical Team by 1/31/24. |
01/31/2024
| Implemented |