| 6500.17(a) | The self-assessment completed on 6/9/23 failed to review compliance for all regulations. Regulation 6500.151e13vii was not reviewed. | If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate 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 agency will ensure that the self-assessment is completed in its entirety. Regulation 6500.151e13vii was reviewed and deemed compliant. |
09/01/2023
| Implemented |
| 6500.156 | Individual #1's most recent ISP completed on 6/5/23 documented that Individual #1 is to attend therapy every two weeks. Individual #1 is only attending therapy monthly. | The home and the agency shall implement the individual plan, including revisions. | The agency's Lifesharing Program Specialist submitted a request to Individual #1's Supports Coordinator on 9/7/23 to update the frequency of therapy to monthly. |
09/07/2023
| Implemented |