| 6400.31(a) | Individual #1 was informed of the individual's rights on 5/1/15 and then again on 7/5/16. | Each individual, or the individual's parent, guardian or advocate, if appropriate, shall be informed of the individual's rights upon admission and annually thereafter. | In order to prevent this infraction in the future, the Program Specialist will update the rights of the individual with the individual or legal guardian of that individual at the annual time of the original signing of the rights, or within the days prior to their expiration. The Program Specialist will utilize the Administrative Assistants calendar of admissions, to assure compliance, the administrative Assistant will send out monthly reminders of all upcoming annual requirements.[Immediately and at least quarterly for 1 year, the CEO or designated management staff will review a 25% sample of signed documentation showing individuals have been informed of individual rights to ensure all individual are informed of individual right upon admission and annually thereafter. (AS 2/6/16)] |
02/02/2017
| Implemented |
| 6400.186(b) | The ISP reviews completed for Individual #1 for review periods January 2016 to March 2016 and April 2016 to June 2016 were not signed by Individual #1. | The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. | In order to prevent this oversight in the future, the program specialist will ensure that all attendees to the quarterly meetings sign in. If a consumer is nonverbal or unable to write, the legal guardian (if present) or the program specialist will denote that this is the mark of the individual in attendance. CEO will participant in random quarterlies, to assure compliance with this regulation.[Immediately and at least quarterly for 1 year, the CEO or designated management staff will review at least a 25% sample of the most recent ISP reviews for all individuals to ensure the program specialist and individual has signed upon review. (AS 2/6/16)] |
02/02/2017
| Implemented |