| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(14) | Individual #1's physical examination, completed 12/8/2015, did not include medical information pertinent to diagnosis and treatment in case of emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Weiblinger¿s Physical form was revised on 4.2.16 adding the ¿Medical information pertinent to diagnosis and treatment in case of an emergency¿ section. Weiblinger¿s has provided a completed physical for one of the individual¿s served dated 4/12/16 reflecting section being added. [Individual #1's physical examination was updated on 5/11/16 to include medical information pertinent to diagnosis and treatment in case of an emergency. Within 60 days of receipt of the plan of correction all current physical examination shall be reviewed to ensure all required information is present including medical information pertinent to diagnosis and treatment in case of an emergency and will obtaining missing information. Prior to entering in the record, all individuals' physical examinations shall be reviewed to ensure all required information is present and missing information shall immediately be obtained. Documentation of reviews shall be kept. (AS 5/25/16)] |
04/22/2016
| Implemented |
| 6400.181(f) | Individual #1's assessment, completed 1/1/2016, was sent to the plan team members on 1/28/2016. The annual ISP meeting was completed 2/9/2016. | (f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
| Weiblinger¿s has provided support showing 2 of the individuals served with upcoming ISP and having had their assessment completed and provided to ISC 30 days prior to ISP meeting.
Individual #1 assessment sent to SC on 3/12/16 for ISP meeting of 4/12/16.
Individual #2 assessment sent to SC on 3/8/16 for ISP meeting of 4/14/16.
[Immediately, the CEO will review the responsibilities of the program specialist as per 6400.44b 1-19 with all program specialists. At least quarterly, the CEO or designated management staff person will review 25% sample of correspondence documentation showing that the program specialists provided the assessments for individuals within required time frames. Documentation of the reviews shall be kept. (AS 5/10/16)] |
04/22/2016
| Implemented |
| 6400.186(d) | Individual #1's ISP review documentation dated 8/12/2015 and 11/12/2015 were sent to the plan team members on 12/17/2015. Individual #1's ISP review ISP review documentation dated 2/12/2016 was sent to the plan team members on 3/23/2016. | The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. | Weiblinger¿s has provided support showing 4 of the individuals served with providing ISC quarterlies within 30 calendar days after ISP review.
SG Quarterly Review Date 3/30/16 sent to ISC 4/5/16
TT Quarterly Review Date 4/1/16 sent to ISC 4/2/16
JF Quarterly Review Date 4/1/16 sent to ISC 4/4/16
DK Quarterly Review Date 4/4/16 sent to ISC 4/5/16
[Immediately, the CEO will review the responsibilities of the program specialist as per 6400.44b 1-19 with all program specialists. At least quarterly, the CEO or designated management staff person will review 25% sample of correspondence documentation showing that the program specialists provided the ISP review documentation for individuals within required time frames. Documentation of the all reviews shall be kept. (AS 5/10/16)] |
04/20/2016
| Implemented |