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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.43(b)(1) | The agencies Covid clearance questions, temperature reading, or sign-in sheets, were not completed at any of the residences visited. | The chief executive officer shall be responsible for the administration and general management of the home, including the following: Implementation of policies and procedures. | What was done immediately to correct the specific issue cited?
On 11/15/2022 the COVID site visitation protocol was re-reviewed with the Site supervisor to ensure that it is followed going forward. The Site Supervisor was also reminded of the importance of following all COVID protocols and was instructed to place agency approved COVID questionnaire at the front door.
What specific change will be made?
The program management staff will ensure that each time they visit the site, the COVID Protocols are being applied to, and practiced with them. The QI Dept and Program Management still will also reinforce this expectation in staff meeting and Quality Council meetings.
Who (by title) will make the change?
Program Director and Site Supervisor will be responsible for making the change.
When will the change be made?
Change was implemented immediately on 11/15/22.
What system has been implemented to make sure the same violation does not occur again?
On a weekly basis, program directors are required to conduct site visits to review the site. For each visit the Program Director makes to each site, the staff are now expected to do the same COVID screening with the Program Director that they would do with visitors. If this screening is not conducted, the Program Director will immediately address it with site staff as well as the Site Supervisor.
What education and training has been provided to staff?
Staff were educated and reminded of the COVID Protocols for visitors during a staff meeting held on 11/17/2022. Staff were also made aware that this practice must also be used on any management staff that visit the site.
Attachment #2 |
11/15/2022
| Implemented |
| 6400.64(a) | The carpets throughout the home were very dirty and stained, to such a degree in some areas that it appeared black; these should be deep cleaned or replaced
The house generally, had grease and dust buildup on most surfaces, fixtures, and walls
The dishwasher had excessive buildup and the appearance of possible mold; this requires a deep cleaning prior to any next use | Clean and sanitary conditions shall be maintained in the home. | What was done immediately to correct the specific issue cited?
A new dishwasher was delivered and installed on 11/17/2022. Carpets were cleaned on 1/04/2023. All surfaces, walls, and fixtures were cleaned on 11/17/2022.
What specific change will be made?
All staff and management are required to attend Quarterly Regulatory Workshops facilitated by the Quality Improvement Department. A variety of topics are discussed each quarter, all specific to the regulations followed. Household common areas and spaces specific to the individual(s) are expected to meet the regulatory and agency standards. The Site Supervisor is responsible for conducting a weekly site inspection and completing the Weekly Residential Site Checklist. All staff are responsible for recognizing violations, areas in need of improvement, and following the reporting process. The checklist captures all regulatory and agency expectations. All discovered areas of concern or violation initiate follow-up by the Site Supervisor, or designee, which includes the purchasing and installation of items and/or submission of a maintenance request. If the matter requires maintenance, the Real Estate Department (RED) is responsible for providing updates and follow through. If the matter can be resolved by the Program, the Site Supervisor is responsible for the resolution. If unresolved within one (1) week from the date of discovery, the Program Director is responsible to address the Site Supervisor regarding the status, delay in resolution, and plan of action. If unresolved within two (2) weeks from the date of discovery, the Regional Director is contacted to either: escalate the matter to RED or escalate the matter to the Program Director to address and resolve immediately. Program Director and Site Supervisor will ensure that any unresolved area(s) of concern, do not pose a health and/or safety risk to the Participants or staff.
Who (by title) will make the change?
Program Director and Site Supervisor will be responsible for making the change.
When will the change be made?
Change went into effect on 11/17/2022 and 1/04/2023. Additionally, the weekly residential site checklist and its process are implemented as of 1/13/2023.
What system has been implemented to make sure the same violation does not occur again?
Site Supervisors are required to complete thorough site inspections weekly. Site Supervisors submit checklists to their Program Director, who ensure receipt and review of each. On a quarterly basis, Program Directors complete Quarterly Residential Site Verification Visits. This requires an in-depth inspection of the residence while comparing the findings to the Weekly Residential Site Checklists. All areas of non-compliance require the Site Supervisor, or designee, to adhere to the process identified to ensure resolution which includes but is not limited to: submission of maintenance requests, follow up and through with persons responsible, and ensure resolution.
What education and training has been provided to staff?
Staff were educated on this regulation during a staff meeting held on 11/17/2022; clean and sanitary conditions must be maintained in the home which includes areas such as: appliances, surfaces, flooring, and damp areas around the home. All staff are aware that any regulatory violation requires the above-mentioned process to be immediately followed through resolution. Site Supervisors are aware that site inspections and the resolution of all violations is their responsibility. All Site Supervisors have been trained and have completed a site inspection utilizing the revised checklist and process.
Attachment #2.1 |
11/17/2022
| Implemented |
| 6400.64(b) | The front entrance had visible collection of cobwebs, and outdoor debris | There may not be evidence of infestation of insects or rodents in the home. | What was done immediately to correct the specific issue cited?
Site Supervisor submitted a work-order on 11/29/2022 for cobwebs and outdoor debris around the house to be cleaned. This matter was resolved on 1/12/2023.
What specific change will be made?
All staff and management are required to attend Quarterly Regulatory Workshops facilitated by the Quality Improvement Department. A variety of topics are discussed each quarter, all specific to the regulations followed. Household common areas and spaces specific to the individual(s) are expected to meet the regulatory and agency standards. The Site Supervisor is responsible for conducting a weekly site inspection and completing the Weekly Residential Site Checklist. All staff are responsible for recognizing violations, areas in need of improvement, and following the reporting process. The checklist captures all regulatory and agency expectations. All discovered areas of concern or violation initiate follow-up by the Site Supervisor, or designee, which includes the purchasing and installation of items and/or submission of a maintenance request. If the matter requires maintenance, the Real Estate Department (RED) is responsible for providing updates and follow through. If the matter can be resolved by the Program, the Site Supervisor is responsible for the resolution. If unresolved within one (1) week from the date of discovery, the Program Director is responsible to address the Site Supervisor regarding the status, delay in resolution, and plan of action. If unresolved within two (2) weeks from the date of discovery, the Regional Director is contacted to either: escalate the matter to RED or escalate the matter to the Program Director to address and resolve immediately. Program Director and Site Supervisor will ensure that any unresolved area(s) of concern, do not pose a health and/or safety risk to the Participants or staff.
Who (by title) will make the change?
Program Director and Site Supervisor will be responsible for making the change.
When will the change be made?
Change was implemented immediately on 11/14/22. Additionally, the weekly residential site checklist and its process are implemented as of 1/13/2023.
What system has been implemented to make sure the same violation does not occur again?
Site Supervisors are required to complete thorough site inspections weekly. Site Supervisors submit checklists to their Program Director, who ensure receipt and review of each. On a quarterly basis, Program Directors complete Quarterly Residential Site Verification Visits. This requires an in-depth inspection of the residence while comparing the findings to the Weekly Residential Site Checklists. All areas of non-compliance require the Site Supervisor, or designee, to adhere to the process identified to ensure resolution which includes but is not limited to: submission of maintenance requests, follow up and through with persons responsible, and ensure resolution.
What education and training has been provided to staff?
Staff were educated on this regulation during a staff meeting held on 11/17/2022; Clean and sanitary conditions shall be maintained in the home. All staff are aware that any regulatory violation requires the above-mentioned process to be immediately followed through resolution. Site Supervisors are aware that site inspections and the resolution of all violations is their responsibility. All Site Supervisors have been trained and have completed a site inspection utilizing the revised checklist and process.
Attachment #2.2 |
11/14/2022
| Implemented |
| 6400.80(b) | The shrubs along the front walk encroached on the pathway, creating a potential snagging hazard
The front door had significant peeling | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | What was done immediately to correct the specific issue cited?
On 1/11/2023 the home was tended to by landscapers and the matters were resolved. This was the earliest date the landscapers could provide from request date of 11/29/2022. Agency maintenance department contacted landlord who is responsible to repair/replace the peeling front door. Landlord is responsible to provide agency with an update regarding this order, delivery, and installation date. Measurements of the door in need of repair were taken on 1/18/2023.
What specific change will be made?
All staff and management are required to attend Quarterly Regulatory Workshops facilitated by the Quality Improvement Department. A variety of topics are discussed each quarter, all specific to the regulations followed. Household common areas and spaces specific to the individual(s) are expected to meet the regulatory and agency standards. The Site Supervisor is responsible for conducting a weekly site inspection and completing the Weekly Residential Site Checklist. All staff are responsible for recognizing violations, areas in need of improvement, and following the reporting process. The checklist captures all regulatory and agency expectations. All discovered areas of concern or violation initiate follow-up by the Site Supervisor, or designee, which includes the purchasing and installation of items and/or submission of a maintenance request. If the matter requires maintenance, the Real Estate Department (RED) is responsible for providing updates and follow through. If the matter can be resolved by the Program, the Site Supervisor is responsible for the resolution. If unresolved within one (1) week from the date of discovery, the Program Director is responsible to address the Site Supervisor regarding the status, delay in resolution, and plan of action. If unresolved within two (2) weeks from the date of discovery, the Regional Director is contacted to either: escalate the matter to RED or escalate the matter to the Program Director to address and resolve immediately. Program Director and Site Supervisor will ensure that any unresolved area(s) of concern, do not pose a health and/or safety risk to the Participants or staff.
Who (by title) will make the change?
Program Director and Site Supervisor will be responsible for making the change.
When will the change be made?
Change was implemented on 11/17/2022. Additionally, the weekly residential site checklist and its process are implemented as of 1/13/2023. Landlord is responsible to notify agency regarding the date of order, delivery, and installation of new front door. Until the door is repaired and replaced, although it is not causing a health or safety risk presently, Participants are safely supervised by staff according to their supervision needs while utilizing the door and doorway.
What system has been implemented to make sure the same violation does not occur again?
Site Supervisors are required to complete thorough site inspections weekly. Site Supervisors submit checklists to their Program Director, who ensure receipt and review of each. On a quarterly basis, Program Directors complete Quarterly Residential Site Verification Visits. This requires an in-depth inspection of the residence while comparing the findings to the Weekly Residential Site Checklists. All areas of non-compliance require the Site Supervisor, or designee, to adhere to the process identified to ensure resolution which includes but is not limited to: submission of maintenance requests, follow up and through with persons responsible, and ensure resolution.
What education and training has been provided to staff?
Staff were educated on this regulation during a staff meeting held on 11/17/2022; The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. All staff are aware that any regulatory violation requires the above-mentioned process to be immediately followed through resolution. Site Supervisors are aware that site inspections and the resolution of all violations is their responsibility. All Site Supervisors have been trained and have completed a site inspection utilizing the revised checklist and process.
Attachment #2.3 |
11/17/2022
| Implemented |
| 6400.144 | The individual #11 blood sugar is required to be checked twice daily (AM & PM); the monitor indicated that daily readings were not completed on 11/7, 8, 9 (PM only); on 11/5, 6 (AM only); and on 11/4 it wasn't read at all
The individual's dental plan recommends the use of an electric toothbrush to support his oral health, one was not found in the bathroom | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| What was done immediately to correct the specific issue cited
All staff immediately were instructed to begin following the doctor¿s instructions to check blood sugar twice daily. The site supervisor conducted a training with all staff on 11/17/2022 on how to retrieve accurate readings from the blood sugar monitor.
What specific change will be made?
All staff will follow the order to check the participants blood sugar twice daily. Training was conducted to ensure staff¿s ability to accurately record the blood sugar readings twice daily. As well, site supervisor was trained on the use of and advised of the expectation to complete the Medication Administration Review Checklist 3 times weekly.
Who (by title) will make the change?
Program Director and Site Supervisor.
When will the change be made?
November 17, 2022 and ongoing.
What system has been implemented to make sure the same violation does not occur again?
Supervisors are responsible for completing the Medication Administration Review Checklist 3 times a week to ensure all medications are administered as prescribed and all doctor¿s orders followed. When completing the medication administration checklist, the site supervisor will ensure all entries on the medication administration record is correct. Compliance in this area will be monitored on a Monthly basis by the Program Director during monthly supervisions.
What education and training has been provided to staff?
The site supervisor conducted a training with all staff on 11/30/2022 on how to retrieve accurate reading from the blood sugar monitor. Program Director provided training to the Site Supervisor on the Medication Administration Review Checklist on November 17, 2022. During the training the supervisor was advised of the expectation to complete the Medication Administration Review Checklist three times each week. In the absence of a site supervisor the Program Director or his/her designee will complete the Medication Administration Review Checklist.
Attachment #2.6 |
11/17/2022
| Implemented |
| 6400.181(e)(4) | The individual #11 assessment states that knives must be kept locked for his safety; the kitchen knives were being kept in an upper, unlocked, cabinet; they are concealed (laid flat on the shelf) but were not secured | The assessment must include the following information: The individual's need for supervision.
| What was done immediately to correct the specific issue cited?
The site supervisor removed all Knives from the kitchen cabinet and placed them in a locked storage closet on 11/15/2022
What specific change will be made?
All staff and management are required to attend Quarterly Regulatory Workshops facilitated by the Quality Improvement Department. A variety of topics are discussed each quarter, all specific to the regulations followed. Household common areas and spaces specific to the individual(s) are expected to meet the regulatory and agency standards. The Site Supervisor is responsible for conducting a weekly site inspection and completing the Weekly Residential Site Checklist. All staff are responsible for recognizing violations, areas in need of improvement, and following the reporting process. The checklist captures all regulatory and agency expectations. All discovered areas of concern or violation initiate follow-up by the Site Supervisor, or designee, which includes the purchasing and installation of items and/or submission of a maintenance request. If the matter requires maintenance, the Real Estate Department (RED) is responsible for providing updates and follow through. If the matter can be resolved by the Program, the Site Supervisor is responsible for the resolution. If unresolved within one (1) week from the date of discovery, the Program Director is responsible to address the Site Supervisor regarding the status, delay in resolution, and plan of action. If unresolved within two (2) weeks from the date of discovery, the Regional Director is contacted to either: escalate the matter to RED or escalate the matter to the Program Director to address and resolve immediately. Program Director and Site Supervisor will ensure that any unresolved area(s) of concern, do not pose a health and/or safety risk to the Participants or staff.
Who (by title) will make the change?
Program Director and Site Supervisor will be responsible for making the change.
When will the change be made?
Change was implemented immediately on 11/15/22.
What system has been implemented to make sure the same violation does not occur again?
Site Supervisors are required to complete thorough site inspections weekly. Site Supervisors submit checklists to their Program Director, who ensure receipt and review of each. On a quarterly basis, Program Directors complete Quarterly Residential Site Verification Visits. This requires an in-depth inspection of the residence while comparing the findings to the Weekly Residential Site Checklists. All areas of non-compliance require the Site Supervisor, or designee, to adhere to the process identified to ensure resolution which includes but is not limited to: submission of maintenance requests, follow up and through with persons responsible, and ensure resolution.
What education and training has been provided to staff?
Staff were educated on this regulation during a staff meeting held on 11/17/2022. All staff are aware that any regulatory violation requires the above-mentioned process to be immediately followed through resolution. Site Supervisors are aware that site inspections and the resolution of all violations is their responsibility. All Site Supervisors have been trained and have completed a site inspection utilizing the revised checklist and process.
Attachment #2.10 |
11/15/2022
| Implemented |
| 6400.216(a) | The individuals' books were kept unlocked on an open shelf in the small room next to the living room | An individual's records shall be kept locked when unattended.
| What was done immediately to correct the specific issue cited?
Site Supervisor removed individual records (where they were observed at the time of the survey) and placed them in the staff office. The staff office has a lock on the door which always remains locked, when not in use by staff.
What specific change will be made?
Program Director instructed site supervisor and all DSP staff at the service location to ensure individual records are always locked up in the office during a licensing violation review staff meeting held on November 17, 2022. The Quality Improvement Department has revised the weekly residential site checklist to include a focus on ensuring regulatory compliance within the service locations.
Who (by title) will make the change?
Program Director and Site Supervisor will be responsible for making the change.
When will the change be made?
Changes went into effect on November 17, 2022.
What system has been implemented to make sure the same violation does not occur again?
All staff will be required to attend and complete quarterly regulatory workshop training with the Quality Improvement Department. A variety of topics will be discussed each quarter, all of which surround regulations, expectations, and ensuring compliance.
Site supervisor has been trained on the Weekly Residential Site Checklist including expectations for completing a site inspection both formally (completing the required weekly inspection) and informally (simply recognizing regulatory areas when not completing the weekly requirement). Supervisor will check daily to ensure all individual records are always stored in the staff office. During the staff meeting held on November 17, 2022, management instructed all staff to complete their progress notes and daily documentation in the staff office and file all daily documentation in respective individual binders immediately after completion.
What education and training has been provided to staff?
Staff were educated on this regulation during a staff meeting held on November 17, 2022. Supervisory staff were trained in the completion of the Weekly Residential Site Checklist and expectations for completion during the meeting.
Attachment #2.11 |
11/17/2022
| Implemented |
| 6400.163(f) | The insulin was kept unlocked on a shelf in the refrigerator for Ind. #11 (on the butter shelf) | Prescription medications stored in a refrigerator shall be kept in an area or container that is locked. | What was done immediately to correct the specific issue cited?
A new box with lock was purchased on November 17, 2022 and all insulin was placed in the box and stored in the refrigerator.
What specific change will be made?
All will placed the insulin in the locked box and store in the refrigerator after each administration.
Who (by title) will make the change?
Program Director and Site Supervisor.
When will the change be made?
November 17, 2022 and ongoing.
What system has been implemented to make sure the same violation does not occur again?
Supervisors are responsible for completing the Medication Administration Review Checklist 3 times a week to ensure all medications are administered as prescribed and all doctor¿s orders followed. When completing the medication administration checklist, the site supervisor will ensure all entries on the medication administration record is correct. Compliance in this area will be monitored on a Monthly basis by the Program Director during monthly supervisions.
What education and training has been provided to staff?
The site supervisor conducted a training with all staff on 11/30/2022 the importance of ensuring all meds are locked at all times. Program Director provided training to the Site Supervisor on the Medication Administration Review Checklist on November 17, 2022. During the training the supervisor was advised of the expectation to complete the Medication Administration Review Checklist three times each week. In the absence of a site supervisor the Program Director or his/her designee will complete the Medication Administration Review Checklist three times a week.
Attachment #2.7 |
11/17/2022
| Implemented |
| 6400.163(h) | PRN medications Acetaminophen 325mg, and Mucinex 600mg, were listed on the MAR but not found in the medication box at the time of inspection for Ind. #11 | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | What was done immediately to correct the specific issue cited?
Site supervisor called the pharmacy to refill the Tylenol and Mucinex which was delivered and placed in the med administration box the next day 11/16/2022.
What specific change will be made?
All staff will ensure all prescribed medications are on site and available for each administration.
Who (by title) will make the change?
Program Director and Site Supervisor.
When will the change be made?
November 17, 2022 and ongoing.
What system has been implemented to make sure the same violation does not occur again?
Supervisors are responsible for completing the Medication Administration Review Checklist 3 times a week to ensure all medications are administered as prescribed and all doctor¿s orders followed. When completing the medication administration checklist, the site supervisor will ensure all entries on the medication administration record is correct. Compliance in this area will be monitored on a Monthly basis by the Program Director during monthly supervisions.
What education and training has been provided to staff?
The site supervisor conducted a training with all staff on 11/17/2022 the importance of ensuring all meds are available as prescribed. Program Director provided training to the Site Supervisor on the Medication Administration Review Checklist on November 17, 2022. During the training the supervisor was advised of the expectation to complete the Medication Administration Review Checklist three times each week. In the absence of a site supervisor the Program Director or his/her designee will complete the Medication Administration Review Checklist three times a week.
Attachment #2.9 |
11/17/2022
| Implemented |
| 6400.166(a)(13) | The 30 incruse Ellipta (inhaler) was not initialed as administered for the 11/15 8AM dose for Ind. #11 | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication. | What was done immediately to correct the specific issue cited?
Supervisor provided counseling to employee who failed to initial the med administration log at the time the administration was completed. Documented error noted on back of MAR.
What specific change will be made?
All staff will sign the medication administration log immediately following observed administration of prescribed medications.
Who (by title) will make the change?
Program Director and Site Supervisor.
When will the change be made?
November 17, 2022 and ongoing.
What system has been implemented to make sure the same violation does not occur again?
Supervisors are responsible for completing the Medication Administration Review Checklist 3 times a week to ensure all medications are administered as prescribed and staff has signed off on administrations of meds immediately following said administration. When completing the medication administration checklist, the site supervisor will ensure all entries on the medication administration record are correct. Compliance in this area will be monitored on a Monthly basis by the Program Director during monthly supervisions and quarterly on-site verification visits.
What education and training has been provided to staff?
The site supervisor conducted a training with all staff on 11/17/2022 the importance of signing off on med administrations immediately following all observed administrations. Program Director provided training to the Site Supervisor and all staff on the Medication Administration Review Checklist on November 17, 2022. During the training the supervisor was advised of the expectation to complete the Medication Administration Review Checklist three times each week. In the absence of a site supervisor the Program Director or his/her designee will complete the Medication Administration Review Checklist.
Attachment #2.8 |
11/17/2022
| Implemented |
| 6400.181(f) | ISP meeting invitation was not sent to the ISP team at least 30days prior to the meeting date for Ind. #11 | The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. | What was done immediately to correct the specific issue cited?
The program specialists have developed a tracking system and incorporates all aspects of the ISP process, which includes time frames for sending the ISP meeting invitation to the team members prior to the ISP meeting.
What specific change will be made?
The Director of Service Coordination will discuss various aspects of the ISP process in supervision with program specialists to ensure that they are following up in a timely manner with the ISP meeting notification to team members. This information will also be tracked on the ISP tracking system.
Who (by title) will make the change?
Program Specialist, Director of Service Coordination
When will the change be made?
The change was made 11/15/2022
What system has been implemented to make sure the same violation does not occur again?
ISP Checklist is documented beginning at the 120-day timeframe before the Annual Review Update of the ISP is due. It will capture the due dates of various items that are due prior to the ISP due date, including providing the assessment to individual¿s team members 30 days before the ISP meeting.
What education and training has been provided to staff?
The expectations around ISP notification was reviewed with the Program Specialist on 11/15/2022. The ISP checklist will also be reviewed with new Program Specialists.
Attachment #2.4 |
11/15/2022
| Implemented |
| 6400.213(1)(i) | Face sheet is missing eye color, and identifying marks for Ind. #11 | Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number. | What was done immediately to correct the specific issue cited?
Program Director updated participant face sheet. Face sheet printed and placed in record on 11/15/2022.
What specific change will be made?
All Program Management are required to attend Quarterly Regulatory Workshops facilitated by the Quality Improvement Department. A variety of topics are discussed each quarter, all specific to the regulations followed. Program Management are expected to attend workshops specific to their roles and responsibilities. Program Specialists are responsible for Participant programmatic documents; these are required to be specific to the individual(s) are expected to meet the regulatory and agency standards. The Program Specialist is responsible for completing and updating all Participant specific assessments and plans accordingly. All assessments and plans, initial and annual, are reviewed by the Director of Service Coordination and discussed during monthly supervision. The Program Specialist is then responsible for the distribution of these assessments and plans to those identified as team members.
Who (by title) will make the change?
Program Specialist and Director of Service Coordination will be responsible for making the change.
When will the change be made?
Program Director verified the revisions to the record on 11/15/2022
What system has been implemented to make sure the same violation does not occur again?
Program Specialists are responsible for Participant programmatic documents; these are required to be specific to the individual(s) are expected to meet the regulatory and agency standards. The Program Specialist is responsible for completing and updating all Participant specific assessments and plans accordingly. All assessments and plans, initial and annual, are reviewed by the Director of Service Coordination and discussed during monthly supervision. Should revisions or modifications be warranted, those are made before distribution. The Program Specialist is then responsible for the distribution of these assessments and plans to those identified as team members.
What education and training has been provided to staff?
Staff were educated on this regulation during a staff meeting held on 11/17/2022. Each individual¿s record must include the following information: Personal information, including: The race, height, weight, color of hair, color of eyes and identifying marks. All Program Management are aware that any regulatory violation requires the above-mentioned process to be immediately followed through resolution.
Attachment #2.5 |
11/15/2022
| Implemented |
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