| 6400.22(d)(2) | The January financial record for Individual #1 was over by $0.36 which affected the balance carried forward for February, March, and April. | The home shall keep an up-to-date financial and property record for each individual that includes the following:
(2) Disbursements made to or for the individual. | PROVIDER PLAN OF CORRECTION
DISCLAIMER: THE DEPARTMENT DOES NOT PERMIT APPEAL/RESOLUTION OF DISPUTED DEFICIENCIES UNTIL AND UNLESS A PROVIDER SUBMITS A PLAN TO CORRECT DEFICIENCIES THAT THE DEPARTMENT HAS ALLEGED. ACCORDINGLY, THIS PLAN OF CORRECTION IS SUBMITTED TO MEET REGULATORY REQUIREMENTS. IT IS NOT AN ADMISSION OF ANY ALLEGED DEFICIENCY OR ALLEGED VIOLATION AND SHOULD NOT BE UTILIZED AS AN ADMISSION BY ANY COURT OR TRIBUNAL IN ANY LEGAL PROCEEDING.
1. STEPS HOPE WILL TAKE TO ENSURE THAT THE DEFICIENCY IS CORRECTED WITH RESPECT TO THE INDIVIDUAL/INDIVIDUALS IDENTIFIED WITHIN THIS DEFICIENCY:
Hope Enterprises will immediately balance Individual #1s financial ledger for the following months: January 2021, February 2021, March 2021 and April 2021. Hope Enterprises will adjust Individual #1s financial ledger to ensure it includes accurate disbursements to or for Individual #1. (See attachment #1)
2 STEPS HOPE WILL TAKE TO IDENTIFY ANY OTHER INDIVIDUALS THAT MAY BE AT RISK ON ACCOUNT OF THE DEFICIENCY AND STEPS HOPE WILL TAKE TO ENSURE THAT THE DEFICIENCY IS CORRECTED FOR ANY OTHER AT RISK INDIVIDUALS:
Hope Enterprises will review 100% of all individual records to ensure that financial ledgers are up-to-date, including accurate disbursements made to or for the individual. If any financial ledger is found to have an inaccurate balance, Hope Enterprises will immediately adjust the financial ledger to ensure it includes accurate disbursements made to or for the individual. Documentation will be maintained and available for on-site review.
3. STEPS HOPE WILL TAKE TO ENSURE THAT THE CORRECTION OF THIS DEFICIENCY IS PERMANENT AND THAT THE DEFICIENCY DOES NOT REOCCUR:
Hope Enterprises will retrain all staff on the requirement that an up-to-date financial ledger includes accurate disbursements made to or for the individual. Policies will be updated to require staff to review individual financial ledgers on a monthly basis to ensure each financial ledger includes accurate disbursements made to or for the individual and to immediately adjust any financial ledger found to have an inaccurate balance. Documentation will be maintained and available for on-site review. |
05/31/2021
| Implemented |