| 6400.15(a) | A self-assessment was completed on 7-15-2016, and the certificate of compliance expired on 2-5-2017. | 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.
| The Residential Program Coordinators were all re-trained on the Plan of Correction for the 6400 audit. The Program Director will generate a reminder for all Self-Assessments to be completed when we are six months from the expiration of our current license, which is due to expire on 02/05/2018. The reminder will be sent by email.[Prior to 3 months of the expiration date of the agency's certificate of compliance, the Program Director shall review all self-assessments to ensure timely completion. Documentation of the review shall be kept.(AS 3/10/17)] |
03/06/2017
| Implemented |