| 6400.141(c)(14) | Individual #1's physical examination dated 12/15/15 does not include medical information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | this item was corrected by having the doctor fill out the pertinent information. all physicals will be reviewed by the Program Specialist for accuracy and that there isn't any blanks of the physical. a copy of this item will be sent to the lead state inspector [Individual #1's physical examination was updated to read "as per medical records" in the medical information pertinent to diagnosis and treatment in case of an emergency. Immediately, the program specialists will review all individuals' current physical examination to ensure all information is included and will obtain any missing information. Prior to entering into each individual's record, the program specialist will review all physical examinations to ensure all required information is included and missing information is obtained. At least quarterly, a director will review a 25% sample of completed physical examinations to ensure all required information is present. Documentation of all reviews shall be kept.(AS 5/20/2016)] |
04/21/2016
| Implemented |
| 6400.186(b) | The ISP reviews for Individual #1, dated 6/16/15-9/16/15 and 9/17/15-12/16/15 were not signed by the program specialist and individual. | The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. | this item was corrected on site. state license monitor was shown documentation at exit interview.
The individual and Program Specialist signed and dated the ISP review. Moving forward a spreadsheet was implemented putting a check mark denoting when the client signs, staff signs and Program Specialist signs the ISP review [Immediately, the program specialist will review all individual 3 month reviews for the past 6 months to ensure the program specialists and individual have signed and dated the reviews upon review of the ISP. All reviews that have not been signed or dated will be reviewed and accurately dated. At least quarterly for one year, the director will review a 25% sample of ISP reviews to ensure the program specialist and individual are signing and accurately dating the ISP review upon review of the ISP. Within 30 days of receipt of the plan of correction the Director will train program specialists on completion of aforementioned spread sheet and the policy and procedure on ensuring that the program specialist and individuals sign and date the ISP reviews upon review. Documentation of trainings and reviews by the Director shall be kept. (AS 5/20/16)] |
04/21/2016
| Implemented |