| 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.
| All self-assessments, once completed annually, will be turned into the Quality and Compliance Department for review to ensure the assessment is completed in its entirety and within the required timeframe prior to being shared with Licensing Representatives each year. |
09/15/2021
| Implemented |
| 6400.32(r) | Individual #1's bedroom door did not have a lock. Individual #2's bedroom door did not have a lock. Individual #3's bedroom door did not have a lock. Individual #4's bedroom door did not have a lock. | An individual has the right to lock the individual's bedroom door. | CCI has implemented a Door Lock Declination Statement defining each person¿s request for a door lock, the type of door lock requested to suit their needs and any additional supports needed. The declination was implemented on 9/20, giving all Program Specialist until the end of October to complete the initial declination. All declinations for CCI were completed on 10/31 and placed on each individual¿s chart. Moving forward, the Declination will then be an addendum to the Rights Assessment, completed annually thereafter, along with as needed at the individual¿s request and upon admission. Currently, all door locks based on the individual¿s preference was to be installed in all homes and bedrooms by 10/31, however, CCI is working with Barrier Protection Services Inc, who informed us that a delay was possible due to supply and demand with ordering the locks in bulk given the pandemic. As of this writing, Barrier has confirmed the locks are in and will be installation on 11/17/21 to 11/24/21. People individually identified in the violation will be completed first, along with those residing in the home of the violation. All people will be completed before their last date scheduled of 11/24/21. |
12/10/2021
| Implemented |