| 2380.186(a) | The program specialist completed ISP reviews for Individual #1 on 12/9/17 then again on 3/28/18. The program specialist completed ISP reviews for Individual #2 on 4/10/17 then again on 7/28/17 and on 10/13/17 and then again on 1/29/18. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the facility licensed under this chapter with the individual every 3 months or more frequently if the individual¿s needs change which impact the services as specified in the current ISP. | Effective immediately (4/10/18) HAP Enterprises will maintain compliance with regulation 2380.186 relating to completion and documentation of all quarterly reviews. Program Specialists and Program Director reviewed 2380 regulations specific to the infraction and trained with CEO on the expectations of maintaining compliance. Program Specialists will be responsible for completing the quarterly reviews within the required 90-day time frame. The steps that will be completed to assure compliance will be as follows:
1. Program Specialists will calculate all ISP review deadlines based on the annual ISP effective date.
2. As suggested by the licensing inspector, the ISP effective date and the upcoming review date will be added to the top right corner of each quarterly review. (This will allow for an immediate and constant view of the review due date).
3. Program Specialists will then be responsible for the completion of the ISP review by the assigned due date.
4. After the review is written by the Program Specialist, they will meet with the individual to discuss the review. Within the 90-day required period, the individual will sign and acknowledge the review (if needed, the individual may sign the review no later than within a 15 day grace period after the assigned due date).
5. In the event an individual or guardian is not available for the quarterly review by the deadline, the Program Specialist will include documentation in the individual¿s file that provides explanation and attempts made to maintain compliance
6. ATC Program Director will be responsible for overseeing and reviewing the completion of the quarterly reviews procedure. |
04/16/2018
| Implemented |