| 6400.181(e)(11) | The assessment dated 7/11/18 for Individual #1 did not include a psychological evaluation. | The assessment must include the following information: Psychological evaluations, if applicable. | 1. This regulation is important to accurately reflect the individual¿s psychological evaluations and will a positive effect on staff knowledge of the individual 2. This violation was found at both heilwood 1 and heilwood 2 in the assessment. 3. Individual¿s assessment was addended to show that were psychological evaluations were completed and who they were done by. 4. This violation occurred because the program specialist did not review this regulation in its entirety and complete the assessment accordingly. 5.Program specialists will be required to complete assessments in compliance with all regulations and upload to a shared folder for review by the Residential Vice President. Program specialists will now be required to provide an addendum to the assessment each time something changes that should be included in this documentation. This will be attached to the previously completed assessment to ensure up to date information. Assessments and addendums will also be provided to team members and sent to the supports coordinator to update the ISP accordingly. Assessments and addendums will also be uploaded into a shared folder to ensure they are available for review to the Residential Vice President. Assessments will be uploaded five days prior to the due date and the Residential Vice President will be notified they are there for review. 6. All team leaders and program specialist will be trained on this citation and the correction by 2/27/19. Also, Psychological evaluations will be requested by Next Step Care Inc, prior to admission after 8/27/2018. [A psychological evaluation for Individual#1 was obtained and added to Individual #1's assessment. Immediately, the CEO or designated management staff person shall educate the program specialist on the required information for Individuals' assessments as per 6400.181(e)(1)-(14). Documentation of the training shall be kept. At least quarterly, the Program specialist shall audit all individuals' current assessment to ensure all required information is accurate and included. (DPOC by AES,HSLS on 8/28/18)] |
02/27/2019
| Implemented |
| 6400.181(e)(14) | The assessment dated 7/11/18 for Individual #1 did not include the individual's knowledge or water safety and ability to swim. | The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. | 1. This regulation is important to accurately reflect the individual¿s ability to protect himself/herself from injury as related to water and address needed supervision in this area. 2. This violation was found at both heilwood 1 and heilwood 2 in the assessment. 3. Individual¿s assessment was addended to clearly explain his ability to swim 4. This violation occurred because the program specialist did not review this regulation in its entirety and complete the assessment accordingly. 5.. Program specialists will be required to complete assessments in compliance with all regulations and upload to a shared folder for review by the Residential Vice President. Program specialists will now be required to provide an addendum to the assessment each time something changes that should be included in this documentation. This will be attached to the previously completed assessment to ensure up to date information. Assessments and addendums will also be provided to team members and sent to the supports coordinator to update the ISP accordingly. Assessments and addendums will also be uploaded into a shared folder to ensure they are available for review to the Residential Vice President. Assessments will be uploaded five days prior to the due date and the Residential Vice President will be notified they are there for review. 6. All team leaders and program specialist will be trained on this citation and the correction by 2/27/19. [Immediately, the CEO or designated management staff person shall educate the program specialist on the required information for Individuals' assessments as per 6400.181(e)(1)-(14). Documentation of the training shall be kept. At least quarterly, the Program specialist shall audit all individuals' current assessment to ensure all required information is accurate and included. (DPOC by AES,HSLS on 8/28/18)] |
02/27/2019
| Implemented |