| 6400.77(c) | First aid manual not found in first aid kit at inspection-photo sent after the inspection that it had been added. | A first aid manual shall be kept with the first aid kit. | Compliance of 6400 regulations for Physical Site will be monitored by several levels of CADES Management.
The House Supervisor completes a Physical Plant Walk-Through and submits data to Program Manager by the 10th of each month. The Program Manager will complete a Physical Plant Walk-Through for all assigned locations. This report will be sent to the Program Coordinator by the 20th of each month. An additional layer of Physical Plant review will be conducted by Quality Assurance personnel. Six homes per month will be inspected by Quality Assurance. Program Managers will be invited to join the QA staff in an effort to further train Program Managers on 6400 expectations. Results will be reviewed by the Program Coordinator, Facilities Director and the Senior Director of Adult Services. See attached sample of Physical Plant Walk- Through # 99-115.
The Program Managers also completed a Residential Site Inspection of all assigned homes which included all violations reported by ODP , see attached # 31-96
The First Aid manual was put in place during inspection. See # 15 |
05/26/2021
| Implemented |
| 6400.141(a) | Individual #1 who was admitted to CADES on 1/27/21 had a physical exam on 3/15 2021 which was more than one year from the previous exam on 2/19/2020. The exam did not include communicable disease precautions, physical limitations or information pertinent to diagnosis in case of an emergency. Individual #1 does have recent seizure activity. | An individual shall have a physical examination within 12 months prior to admission and annually thereafter. | The Admissions Committee members were trained 5-19-21 on 6400.141(a) regulation. An individual shall have a physical examination within 12 months prior to admission and annually thereafter. See attached # 17-21.
The "Therap " electronic record will now include a flag for nurses regarding physical due dates. The CADES Coordinator of Admissions will also provide guidance to the CADES team with regard to new admissions physical date and next due date.
Sample of new admission physical, see attached #22-27. |
05/26/2021
| Implemented |