| 6400.71 | The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone on the recessed shelf in the wall between the dining room and bathroom on the first floor of the home. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| The phone numbers have been added to the phone. The Program Specilaist will do an site inspection on an monthly basis when they do their monthly monitoring to make sure all physical site areas are in compliance. [Within 30 days of receipt of the plan of correction, the Director of Residential shall educate all program specialists of their responsibility of completing monthly monitoring of all community homes including checking that the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center are on or by each telephone in the home with an outside line. Documentation of the trainings shall be kept. At least quarterly for 1 year, the Director of Residential shall audit a 25% sample of monthly monitoring documentation to ensure completion and that the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center are on or by each telephone in the home with an outside line. Documentation of the audits shall be kept. (AS 3/9/18)] |
02/28/2018
| Implemented |
| 6400.213(7)(ii) | Individual #1's record did not include a copy of the invitation to the ISP annual update meeting held on 3/23/17. | Each individual's record must include the following information: A copy of the invitation to the annual update meeting.
| The invitation is included. If the Program Specialist does not receive a copy of the invitation letter from the SC prior to the meeting. She will request it from the SC. [Within 30 days of receipt of the plan of correction, the Director of Residential shall educate all program specialists of their responsibilities and procedures to ensure all required information as per 6400.213(1)-(14) is included in each individual record. Documentation of the trainings shall be kept. Within 60 days of receipt of the plan of correction, the program specialist(s) shall review all individuals' records to ensure all required information as per 6400.213(1)-(14) is included in each individual record. At least quarterly for 1 year, the Director of Residential shall audit a 5% sample of individuals' records to ensure all required information as per as per 6400.213(1)-(14) is included in each individual record. Documentation of the audits shall be kept. (AS 3/9/18)] |
02/28/2018
| Implemented |