| 6400.31(b) | The most recent statement acknowledging receipt of information on rights for Individual #1 was signed and dated on 4/26/16. The current statement acknowledging receipt of information on rights for Individual #1 was not dated; therefore, compliance could not be measured. | 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. | Joanne McGuire, will review, sign and date all annual rights after the House Administrators review the rights with the Individuals to ensure that all parties have signed and dated the rights. [Immediately, the CEO or designee shall review all individuals' current statements acknowledging receipt of information on rights to ensure timely completion and statements are signed and dated as required. Documentation of audits shall be kept. Within one week of the individual signing and dating the statement acknowledging receipt of the information on rights, the program specialist shall review, sign and date the statements as stated above. (AS 3/14/18)] |
04/20/2018
| Implemented |
| 6400.186(a) | The program specialist completed the ISP review for Individual #1 on 7/16/17 and then again 11/16/17. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. | Program Specialist will complete monthly reviews of all upcoming ISP reviews that are due for that month and ensure they are completed every three months from the last ISP Review. Program Specialist will document review on the programming calendar located in the Program Specialist office. CEO will review the calendar to ensure the Program Specialist is completing the ISP Reviews as scheduled. [CEO will review the aforementioned tracking calendar at least monthly. Documentation of the review shall be kept. (AS 3/14/18) |
02/28/2018
| Implemented |