| 6400.15(a) | The agency did not complete a self-assessment of the home within 3 to 6 months prior to the expiration of the agency's certificate of compliance. The agency's certificate of compliance expired on 8/15/2022 and the self-assessment of the home was completed on September 6 and 7, 2022. | 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 Supervisor will complete each home self-assessment within 3 to 6 months prior to the expiration date of the agency's certificate of compliance. The Residential Supervisor will submit the correct self-assessment to licensing upon request. |
04/30/2023
| Implemented |
| 6400.112(b) | The fire drill completed on 6/12/2022 was not held during normal staffing conditions. Normal staffing conditions for the home is two staff during waking hours and two staff during overnight hours. The drill completed on 6/12/2022 included three staff. | Fire drills shall be held during normal staffing conditions and not when additional staff persons are present. | Program Specialist Supervisors will continue to train individuals and staff on the fire drill regulations, including the normal staffing conditions during fire drills. They will ensure normal staffing patterns are followed. |
12/21/2022
| Implemented |