| 6400.31(b) | The rights form signed by Individual #1 on 1/3/14, did not state the full rights per regulations 33(g) regarding visitors and 33(k) regarding religion.
Per 6400. 33(g), An individual has the right to receive scheduled and unscheduled visitors, communicate, associate and meet privately with family and persons of the individual's own choice. Individual #1¿s signed statement included that, "I have the right to have visitors in my home and talk to people I want unless my health or safety is at risk."
Per 6400.33(k), ¿ An individual has the right to practice the religion or faith of the individual¿s choice.¿ Individual #1¿s signed statement included that, ¿I have the right to attend religious services of my choice.¿
| (b) Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept.
| The individual rights statement form was revised to reflect the exact wording of state regulation 6400.31(b)33(g), 33(k).The individual#1 reviewed and signed a new rights statment on 03/21/2014, attachment A. All other individuals in residntial programs will sign the revised statement by 4/30/14. The program specialist is responsible for the completion of this corrective action. All agency ID services residential staff will be trained on the changes to the form by 04/30/2014. The program specialist is responsible for ensuring completion of the staff training. |
04/30/2014
| Implemented |
| 6400.141(c)(8) | The mammogram for Individual #1 was not completed annually. The mammograms wer completed on 5/21/12 and 6/6/13. | (8) A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older.
| The mammogram for Individual #1 was completed late because the individual was ill on the date of the original appointment. The appointment was rescheduled for the first available appointment date. The appointment was completed on 6-6-13. Documentation was provided verifying this at the time of the inspection on 1-24-14. [Mammograms and other items required per the physical will be completed within the timeframe specified by the requlations. (CHG 4/3/14)] |
01/24/2014
| Implemented |