| 6400.15(a) | The self-assessment for the home did not include a date of completion, therefore, compliance could not be measured. | 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.
| The 6400.15 regulations have been reviewed by the Program Director and the Clinical Director. Once the self-assessments have been completed the Program Director and the Clinical Director will review to insure accuracy and completeness.
Effective Date: June 1, 2018
Responsible Party: Program Director and Clinical Director
[Within 30 days of receipt of the plan of correction, the CEO or designee shall training all staff person responsible for completing and reviewing the self-assessments of their responsibilities to ensure accurate and timely completion of the self-assessment. Documentation of the trainings shall be kept. Documentation of the aforementioned reviews by the Directors of the self-assessments shall be kept. (AS 6/21/18)] |
06/01/2018
| Implemented |