Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00102825 Renewal 10/25/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186(d)Program Specialist #1 reportedly hand delivered the ISP review documentation dated 9/30/16, 6/30/16, 3/31/16, 12/31/15 for Individual #1 to the plan team members. There was no documentation if or when the documentation was given to the plan team members; therefore, compliance could not be measured. 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. The Program Specialist will provide the ISP review documentation, including recommendations, if applicable, to the SC and plan team members within 30 calendar days after the ISP review meeting. For Individual #1, the Program Specialist has sent the ISP reviews dated 12/31/15, 3/31/16, 6/30/16, and 9/30/16 to all plan team members on 11/01/2016. All Program Specialists will be retrained in Reg. 6400.186(d) on 11/18/2016 to ensure that ISP reviews are sent to all plan team members within 30 calendar days of the meeting. Each individual record will be reviewed by 11/30/16 to ensure that ISP reviews have been sent to all plan team members within 30 calendar days of the meeting.[At least quarterly for 1 year, a designated management staff person shall review a 25% sample of correspondence documentation showing the program specialist proved ISP review documentation to individuals' team members as required. Documentation of reviews shall be kept. (AS 11/30/16)] 11/12/2016 Implemented
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