| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The self-assessment was not dated nor signed and only partially completed. | (a) 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.
| Amudipe¿s Residential and Day Treatment Facilities Inc will 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 regulation 6400.15 Self- assessment of homes. CEO will ensure that Program Specialists has dated and completed, signed and dated assessment 6 to 3 months prior to inspection. |
06/03/2013
| Implemented |
| 6400.141(c)(9) | The prostate examination was not done on the annual physical dated 1/3/13. | (9) A prostate examination for men 40 years of age or older.
| Amudipe¿s Residential and Day Treatment Facilities Inc. CEO or Program Specialist will ensure physical examination will include a prostate examination for all male/ men 40 years of age or older in residential programs. All individual will have physical examination within 12 months prior to admission and annually thereafter. The physical examination will be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician¿s assistant. |
04/30/2013
| Implemented |
| 6400.181(e)(12) | There were no recommendations for programing/outcomes included in the assessment for individual #1 which was completed on 11/30/12. | (12) Recommendations for specific areas of training, programming and services.
| Amudipe¿s Residential and Day Treatment Facilities Inc. Program Specialist will make recommendations for programming/outcomes that will be included in the assessments for our residential clients. . CEO will ensure that Program Specialist has recommendations for programming/outcomes in their residential assessments. |
06/03/2013
| Implemented |
| 6400.181(f) | The assessment completed for individual #1 on 11/30/12 was not sent to the Support Coordinator 30 days prior to the ISP meeting held on 10/25/12. | (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).
| Amudipe¿s Residential and Day Treatment Facilities Inc. Program Specialist will provide the assessment to the Support Coordinator, at least 30 calendar days prior to an ISP meeting. . CEO will ensure that Program Specialist assessment is provided to Support Coordinator¿s within 30 days of ISP meeting with signed statement of receipt from Support Coordinator to be kept in clients file. |
06/03/2013
| Implemented |
| 6400.181(d)(3) | Individual¿s #1 ISP, dated 10/25/12, was not completed on the Department designated forms. | (3) The ISP, annual updates and revisions shall be documented on the Department-designated form located in the Home and Community Services Information System (HCSIS) and also on the Department's web site.
| Amudipe¿s Residential and Day Treatment Facilities Inc. CEO and Program Specialist will ensure the ISP, annual updates and revisions will be documented on the Department-designated forms from the Home and Community Services Information System (HCSIS) or Department's web site. |
10/25/2013
| Implemented |
| 6400.186(a) | Quarterly ISP reviews were not completed for individual #1 progress on outcomes for 4/20/12, 7/20/12, 10/20/12 and 1/20/13. | (a) 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.
| Amudipe¿s Residential and Day Treatment Facilities Inc. Program Specialist will complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed and regulated in chapter 6400.186 (a) with individual every 3 months or more frequently if the individual¿s needs change which impacts the services as specified in the current ISP. CEO will ensure that Program Specialist has quarterly ISP¿s reviews completed with progress on outcomes signed and dated for all clients in our residential programs. |
06/03/2013
| Implemented |