6400.66 | The light located outside the back door did not have a working light bulb. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| 1. What was done immediately to correct the specific issue cited?
Staff member changed the old light bulb with a new light bulb to ensure proper lighting of the exterior on 10/19/2017. (Work Order -- Attachment 1)
2 What specific change will be made?
Program Director has instructed the site level managers to check all areas of the physical site upon monthly completion of the Residential Site Checklist.
3 Who (by title) will make the change?
Site Supervisors and Program Directors.
4. When will the change be made?
October 20, 2017 and ongoing
5. What system has been implemented to make sure the same violation does not occur again?
Supervisors are responsible for completing the monthly residential site checklist. When completing the checklist the supervisor checks all areas of the home for compliance including a check of the physical site. During the check the supervisor is responsible for answering the following questions: Are all exterior lights in good working order?
6. What education and training has been provided to staff?
Supervisors receive training on the completion of the monthly Residential site checklist at the time of their orientation. Supervisors receive follow up education and training at the time of their monthly supervisions when the Monthly Residential Site Checklist is reviewed by the Program Director.
Direct service employees receive training regarding physical site compliance during their initial
on-site orientation.
7. How will we monitor to prevent reoccurrence? Include specific record keeping, ongoing monitoring activities and action plan follow-up.
Program Directors are required to visit each service location on a monthly basis to inspect service locations for regulatory compliance. The information recorded on the Monthly Residential Site Checklist is also verified quarterly when the Program Director (Manager) completes quantitative record reviews and Residential Spot Checks. During monthly supervision when the Monthly Residential Site Checklist is submitted, supervisors are reminded to ensure the accuracy of their report and advised as to how to implement any needed corrective actions. |
10/19/2017
| Implemented |