6400.15(a) | The license for this chapter expired on 10/15/2019. A self-assessment wasn't completed until 10/10/2019. | 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.
| a. The provider¿s Operations Director will ensure that a self-assessment schedule is created, ensuring that all homes have a completed self-assessment at least 3 times per year. This schedule will be created and implemented by 11/15/19.
b. As the self-assessments were completed for all of the homes in October 2019, the schedule will begin in January 2020.
c. Self-assessments will be completed by Program Specialists, as well as the Operations Director when necessary.
d. Any non-compliant findings will be addressed and remedied upon discovery.
e. Self-assessments of all group homes will be made available to licensing representatives whenever necessary. |
11/15/2019
| Implemented |
6400.77(b) | There was no thermometer in the 1st Aid Kit at the time of this inspection. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | a. The provider will ensure that residential program supervisors, as well as Program Specialists, check that all necessary first aid kit items are present and functioning throughout routine inspections of the home.
b. The provider will also ensure that the first aid kits are checked for items being present, as well as for proper functionality, during each of the self-assessment inspections, at least three times annually.
c. At any time an item runs out or is noted missing, the provider will ensure that management is notified within 24 hours, and that it is replaced within 48 hours.
d. Thermometer replaced at Clark Avenue by Residential Program Supervisor TS on 10/24/19. |
11/11/2019
| Implemented |