6400.34(a) | Individual #1 was informed and explained individual rights on 12/01/19. The rights document did not include the following rights: 6400.32a, to not be discriminated against based upon protected classes; 6400.32d through 6400.32g, to be treated with dignity and respect, choose, accept risks, refusal and control the individual's schedule, activities and services; 6400.32j, to voice concerns about services; 6400.32p through 6400.32u, choosing with whom they share a bedroom, decorating and furnishing bedroom and common areas, locking doors in bedrooms and in the home, access to food at any time, and making healthcare decisions. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | A new Individual Rights policy and procedure had been created according to the 6400 regulations. The Program Specialist have reviewed this policy with every individual, had him/her sign the policy and gave them a copy to keep. I will send the signed copy from this individual. [Individual #1 signed the updated individual rights documentation on 11/2/2020, copy provided to the Department on 11/25/2020. (AES,HSLS on 12/22/20)] |
11/02/2020
| Implemented |
6400.213(1)(i) | The record for Individual #1 did not include identifying marks and the means of communication. | Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number. | All vital record information sheets were updated and now include both the means of communication and identifying marks for every individual. I will send her vital information sheet along with the other documents. [Individual #1's record was updated to include "n/a" for identifying marks on 11/2/2020, copy provided to the Department on 11/25/2020. At least quarterly, the CEO or a designated staff persons educated in the requirements of individual records shall audit all individual records to ensure all required information is included and up to date. (AES,HSLS on 12/22/20)] |
11/02/2020
| Implemented |