| 6400.168(e) | The full dates of the medications administration training was not documented for Direct Service Worker #1. The dates of the annual practicum were documented as 3/17 and 6/18. | Documentation of the dates and locations of medications administration training for trainers and staff persons and the annual practicum for staff persons shall be kept. | The Direct Service Worker #1 will receive retraining in medication management on 12/19/2019 by a medication administration trainer. Documentation of the date, including month, day and year will be clearly identified on the training forms and annual practicums (Attachment #3). Medication Administration trainers will work together to review documentation on a quarterly basis to ensure that documentation is clear and comprehensive for all trainings and annual practicums. The Executive Director or designee will review 25% of medication administration training records on a quarterly basis to ensure on-going compliance. [Within 30 days of receipt of the plan of correction, CEO shall educate all aforementioned staff persons on their aforementioned responsibilities to ensure documentation of the dates and locations of medications administration training for trainers and staff persons and the annual practicum for staff persons shall be kept .Documentation of aforementioned audits shall be kept. (DPOC by AES,HSLS on 1/2/19)] |
12/19/2018
| Implemented |
| 6400.186(a) | The program specialist completed the ISP reviews for Individual #1 from the period of 3/1/18 to 5/31/18 on 6/19/18 and the period of 12/1/17 to 2/28/18 on 3/16/18. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. | Program Specialists will ensure that ISP reviews occur no later than the 15th of the month following the ISP review period. Program Specialists will meet with the individual on or before this date to ensure compliance. Program Specialists and the individual will sign and date the ISP review form to document compliance with this chapter. The Executive Director or designee will review 25% of client records related to ISP review meetings on a quarterly basis.[Within 30 days of receipt of the plan of correction, CEO shall educate the program specialists on their aforementioned responsibilities to ensure they complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. Documentation of aforementioned audits shall be kept. (DPOC by AES,HSLS on 1/2/19)] |
12/15/2018
| Implemented |