| 6400.15(a) | The self-assessment dated 7/27/16 was not completed 3 to 6 months prior to the expiration of the license dated 9/10/16. | 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.
| Based on the licensing review of November 29-30, 2016, on 12/1/16, the Assistant CLA Director responsible for the site, as well as all other CLA Assistant Directors were sent a memo from the CLA Director on the importance of assuring that the self assessment is completed within the regulatory timeframe. Additionally, the CLA Director has placed a reminder for the self assessment on all Assistant CLA Director's Outlook Calendars. It is the responsibility of all Assistant CLA Directors to assure that self assessments are completed for each site within regulatory timeframes. This will be reviewed annually by the CLA Director to assure compliance. |
12/01/2016
| Implemented |
| 6400.64(a) | One padded table top was severely water stained and was stored on its side in the basement. | Clean and sanitary conditions shall be maintained in the home. | This citation was resolved on 12/13/16 when the padded table was discarded. On 12/1/16, the Program Supervisors responsible for the site, as well as the Assistant Directors were retrained on the importance of keeping clean and sanitary conditions at all sites. It is the responsibility of the Program Supervisor/Specialist to assure that each household is in good repair on a weekly basis. A CLA Site Checklist is completed on a weekly basis by the site supervisor to assure that all surfaces are clean and in good repair. When items are not clean, worn or broken, the Program Supervisor will take corrective action to assure compliance with the regulation. |
12/13/2016
| Implemented |