Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00235122 Renewal 12/06/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(4)Individual #2's 1/19/23 physical examination record does not include an examination of their vision or hearing or if their physician recommends a follow up screening by a specialist. The physician documented on the record that Individual #2's hearing and vision screening was not checked at the examination appointment, and the physician didn't document if Individual #2's' head, ears, or eyes were within normal limits or examined.The physical examination shall include: Vision and hearing screening, as recommended by the physician.A form was sent to the individual's physician to document whether their ears and eyes were examined in any capacity at the last physical appointment and if there were any issues observed or any further treatment recommendations. The individual's physician completed and returned the signed form, and it has been filed with the physical form. They are due for their annual physical in January of 2024, so management will ensure that all sections of this physical form are correctly completed. (See Attachment #1). 12/12/2023 Implemented
2380.111(c)(7)Individual #2's 1/19/23 physical examination record does not include their health maintenance needs. Their physician documented yes, the individual has health maintenance needs (ex. Exercise, hygiene practices, weight control, etc.) but did not list any health maintenance needs. The field to record the health maintenance needs was left blank.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.A form was sent to the individual's physician to document what their health maintenance needs are. The individual's physician completed and returned the signed form with a list of their health maintenance needs, and it has been filed with their physical form. They are due for their annual physical in January of 2024, so management will ensure that all sections of this physical form are correctly completed. (See Attachment #1). 12/12/2023 Implemented
2380.125(b)According to the medication label for Individual #3's Risperidone, they are to be administered .75 milliliters by mouth, 3 time a day. Individual #3's February 2023 to December 2023 medication administration records (mars) state to administer .75ml by mouth at 1pm for autism symptoms. Their current 2023 physical examination record did not include the order to administer the medication at 1pm. The agency has an order to administer one of the doses at 1pm but it was last written in 2016. The written order on the medication label was different from the medication order written on the mar, and a current order to administer the medication at 1pm was not produced during the inspection.A prescription order shall be kept current.A prescription medication order was sent to the individual's physician to confirm that the administration times have not changed. They receive 2 doses at home, outside of program hours, and one dose at 1 PM on days they attend the CPS program. The physician returned the completed order, and this has been filed with his medical documentation. (See Att. #2). 12/12/2023 Implemented
2380.129(d)Staff #4 has been administering medications at program. At the time of the 12/6/23 inspection, Staff #1 indicated Staff #4 passed their initial medication administration training, however, never recorded a date they passed all initial medication administration training requirements. The field to indicate the date they passed, was left blank.A record of the training shall be kept, including the person trained, the date, source, name of trainer and documentation that the course was successfully completed.This form was reviewed and all dates of when Staff #4 completed all sections of the medication training, including medication observations, were correctly documented, as was the staff member's signature upon completion of their last medication pass, which signified the end of their training. It was a trainer oversight that they did not include a date when they signed the form after the staff member. The trainer has updated this initial medication training form by adding the date that it was signed, which is the same date the trainee completed their final medication administration observation and signed and dated the form. (See Att. #3) 12/12/2023 Implemented
SIN-00198624 Renewal 02/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(7)Individual #1's current, 8/27/21 physical examination record did not include their health maintenance needs. The field was left blank.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.Contact was made with Individual #1's parent explaining that while the physical form they submitted was from another licensed provider, there are different regulatory requirements and we must have our agency physical form completed and all listed areas must be filled in. Our agency physical form was sent to the individual's physician, who sent it back with all areas completed. (See Att. #1). Program Specialists received training on the requirement that all physical examinations for individuals must contain the required information listed in 2380.111. (See Att. #2). All current program files will be reviewed and physicals inspected to ensure that all sections are completed on each physical. If it is found that the physical does not contain needed information, the individual and/or their parent/guardian will be contacted and given a copy of Able-Services' physical form and asked to assist Able-Services in contacting their physician to have all sections of the physical form completed. 02/25/2022 Implemented
2380.111(c)(9)Individual #1's current, 8/27/21 physical examination record did not include their allergies and contraindicated medications. The field was left blank. According to their record, they have allergies to Pravastatin and Ice Melt.The physical examination shall include: Allergies or contraindicated medication.Contact was made with Individual #1's parent explaining that while the physical form they submitted was from another licensed provider, there are different regulatory requirements and we must have our agency physical form completed and all listed areas must be filled in. Our agency physical form was sent to the individual's physician, who sent it back with all areas completed. (See Att. #1). Program Specialists received training on the requirement that all physical examinations for individuals must contain the required information listed in 2380.111. (See Att. #2). All current program files will be reviewed and physicals inspected to ensure that all sections are completed on each physical. If it is found that the physical does not contain needed information, the individual and/or their parent/guardian will be contacted and given a copy of Able-Services' physical form and asked to assist Able-Services in contacting their physician to have all sections of the physical form completed. 02/25/2022 Implemented
2380.111(c)(10)Individual #1's current, 8/27/21 physical examination record did not include information pertinent to diagnosis and treatment in case of an emergency. The field was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.Contact was made with Individual #1's parent explaining that while the physical form they submitted was from another licensed provider, there are different regulatory requirements and we must have our agency physical form completed and all listed areas must be filled in. Our agency physical form was sent to the individual's physician, who sent it back with all areas completed. (See Att. #1). Program Specialists received training on the requirement that all physical examinations for individuals must contain the required information listed in 2380.111. (See Att. #2). All current program files will be reviewed and physicals inspected to ensure that all sections are completed on each physical. If it is found that the physical does not contain needed information, the individual and/or their parent/guardian will be contacted and given a copy of Able-Services' physical form and asked to assist Able-Services in contacting their physician to have all sections of the physical form completed. 02/25/2022 Implemented
2380.111(c)(11)Individual #1's current, 8/27/21 physical examination record did not include special dietary needs. The field was left blank.The physical examination shall include: Special instructions for an individual's diet.Contact was made with Individual #1's parent explaining that while the physical form they submitted was from another licensed provider, there are different regulatory requirements and we must have our agency physical form completed and all listed areas must be filled in. Our agency physical form was sent to the individual's physician, who sent it back with all areas completed. (See Att. #1). Program Specialists received training on the requirement that all physical examinations for individuals must contain the required information listed in 2380.111. (See Att. #2). All current program files will be reviewed and physicals inspected to ensure that all sections are completed on each physical. If it is found that the physical does not contain needed information, the individual and/or their parent/guardian will be contacted and given a copy of Able-Services' physical form and asked to assist Able-Services in contacting their physician to have all sections of the physical form completed. 02/25/2022 Implemented
2380.115(1)The written emergency medical plan didn't include the specific hospital or source of health care to be used in the event of a medical emergency at the facility.The facility shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency.Able-Services' Emergency Medical Plan was updated on 2/24/22 to more clearly specify the regulation requirements, namely the specific hospital or source of health care to be used in the event of a medical emergency at the facility. (See Att. #3) Program staff received training on this updated plan. (See Att. #4) 03/02/2022 Implemented
2380.173(1)(ii)Individual #1's record didn't include identifying marks. Their record stated, "wears glasses and hearing aids," that are items that can be removed from oneself. Individual #3's record didn't include identifying marks. Their record stated, "wears glasses."Each individual's record must include the following information: Personal information including: The race, height, weight, color of hair, color of eyes and identifying marks.The cover sheets for Individual #1 and Individual #3 have been updated to include identifying marks and remove the listing of items, such as glasses and hearing aids, that can be removed from oneself. (See Att. # 5 and Att. #6). Program Specialists have been retrained in what constitutes an identifying mark, that this does not include items that can be removed from oneself, and their responsibility for ensuring this information within the individual file is complete and accurate. (See Att. #2) Cover sheets for current participants will be reviewed to ensure that appropriate identifying marks are included for all individuals and do not include removable items. Any needed corrections will be made upon discovery. 02/25/2022 Implemented
2380.181(a)Individual #2 entered the program on 4/6/2021 and did not have an initial assessment completed until 6/16/2021.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.This correction is unable to be made, since the required date is already passed. 02/23/2022 Implemented
2380.181(e)(2)Individual #4's current, 8/6/21 assessment doesn't include dislikes. The field for this states, "n/a" for not applicable. This regulation is applicable to all individuals' assessments and the facility is required to assessed individuals' dislikes. According to other record information maintained at the facility, Individual #4 does not like certain crowds and/or environments that are very stimulating and also may cause seizures, exhibits various behaviors to undesired words or items, and does not like words or phrases that start with "st", "bad", "off", or "alone".The assessment must include the following information: The likes, dislikes and interests of the individual, including vocational and employment interests.An addendum to Individual #4's Assessment was completed on 2/24/22 to include information on his dislikes and this addendum was sent was sent to all the members of Individual #4's ISP Team. (See Att. #8) Program Specialists received additional assessments and how this regulation is applicable to all individual assessments and should not be marked as "n/a". (See Att. #2). 02/24/2022 Implemented
2380.21(u)There are no records maintained that the facility informed and explained individual rights and the process to report a rights violation, defined in 2380.21(a)-(t), with Individuals #1-#4 initially upon admission and annually thereafter. Staff person #1 confirmed on 2/17/2022 that staff from the facility do not inform and explain the individuals' rights and the process to report a rights violation to the individuals, but the facility provides a copy of the individuals' right to them via mail. Additionally, a review of 2380.21(d) and (g) was not included in the mailed individual rights document, or explained to any individuals by the facility.The facility 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 facility and annually thereafter.The Individual Rights Policy has been updated to include all individual rights, including those listed in 2380.21(d) and (g). The individuals selected for monitoring (#1, 2, 3, 4) have received training on their rights and they (and applicable guardians) have signed the policy acknowledging receipt of this information. (See Att. #9) All current participants and guardians will receive training on their rights by March 11, 2022 and documentation of receipt of this information will be kept in the individuals' files. The Program Handbook, which is reviewed yearly and given to all participants and contains pertinent policies, procedures, and programmatic information, has been updated to include a complete list of all the individual rights in 2380.21. (See Att. #10) 02/25/2022 Implemented
2380.125(f)According to Individual #1's individual plan, "{Individual #1 may display symptoms related to their anxiety. Should {Individual #1} begin to display these symptoms, staff will remain calm and attempt to redirect {the individual} to a preferred activity, such as doing something active, moving to a quieter area to allow some time alone to calm down slowly, or the opportunity to talk when {the individual} feels they are ready." However, the individual's plan does not include the specific symptoms of anxiety they experience, that trigger the need for staff to implement the plan and assist the individual through their specific symptoms of anxiety.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness.Staff talked to Individual #1 and her mother about what specific symptoms of anxiety look like for her that may trigger the need for staff to implement her SEEN plan while she is receiving services. Individual #1's SEEN Plan was updated with this information (See Att. #11) and a request was sent to the Supports Coordinator to update this plan in the individual's ISP. (See Att. #12). Staff members were retrained on Individual #1's updated SEEN Plan with the additional symptoms of anxiety. (See Att. #13). This information was also updated on Individual #1's cover sheet, which is accessible to staff at all times electronically. (See Att. #5) Program Specialists were trained on the requirement that specific symptoms of an individual's psychiatric illness should be included within their SEEN Plan. (See Att. #2). The SEEN Plans of current program participants will be reviewed to ensure that they contain symptom information. If any are found to not have specific symptoms included, the Program Specialist will ensure these are added to the plan, request the appropriate update(s) to the individual's ISP, and train staff in the updated plan. 02/23/2022 Implemented
2380.181(f)Individual #1's assessment was not sent to their other prevocational facility team member. Individual #3 had their annual individual support plan (isp) meeting held on 10/26/2021, but their assessment was not sent to team members until 11/18/2021. Additionally, a team member from another agency who was present at the annual isp meeting, did not receive a copy of the individual's assessment. Individual #4's 8/6/21 assessment was not sent to their prevocational team member prior to their 9/23/21 annual isp meeting.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to the individual plan meeting.The most recent annual assessments for Individual #1, Individual #3, and Individual #4 were sent to the ISP Team members from other service provision agencies that did not receive their most recent annual assessment. (See Att. # 14, Att. #15, and Att. #16). Program Specialists were retrained on the requirement that assessments must be provided to all individual plan team members at least 30 calendar days prior to the individual plan meeting and that this includes other service providers. (See Att. #2) Current assessments will be reviewed to ensure that they were sent out to all ISP Team Members listed in the ISP and/or that attended the Annual ISP Meeting. If it is found that any team members did not receive the most recent assessment, contact information will be obtained and the assessment will be sent to them upon discovery. Program Specialists reviewed the assessment dates of individuals on their caseloads and moved up the dates of any assessments that would be due in the immediate time period surrounding an individual's annual ISP meeting to ensure that the assessment is always completed and sent out to the ISP Team 30 days prior to the scheduled annual ISP meeting. 02/24/2022 Implemented
2380.186Individual #4's individual plan states that the individual is diagnoses with non-convulsive seizure disorder, has a seizure every 4-6 months, the individual will stare, swallow, and make throat clearing noises, and that their seizure frequency and symptoms are tracked daily by the facility and family. Staff person #1 reported on 2/17/22 they were not aware this was located in the individual's individual plan and the facility was not monitoring or tracking any seizure activity or symptoms described in the plan for Individual #4.The facility shall implement the individual plan, including revisions.The intention of the ISP team, as discussed during Individual #4's intake and at his annual ISP reviews, is that if Individual #4 has a seizure during CPS services, his seizure and the symptoms he experienced will be documented in his electronic health record and shared with the individual's mother. Individual #4's ISP has been updated to change the frequency of this health promotion activity to as needed. (See Att. #17) Though this information is included in the individual's ISP, which staff are trained on annually, to ensure staff are clear on what they may observe if Individual #4 has a seizure and their reporting requirements, this information was included on Individual #4's cover sheet, which staff are able to access electronically at any time. (See Att. #18) In addition, staff were retrained on this expectation. (See Att. #19) 03/02/2022 Implemented
SIN-00167961 Renewal 02/26/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(4)The doctor marked that a hearing screening is recommended on Individual #2's physical dated 11/20/19. The results of the hearing screen were left blank on the physical form.The physical examination shall include: Vision and hearing screening, as recommended by the physician.The Program Specialist reached out to Individual #2's PCP to discuss the indication on his physical that a hearing screen was recommended. The PCP explained that she does not believe he needs a hearing screening at this time. She sent Able-Services an amended physical form where she changed her recommendation to "NO" under "Is a hearing screening recommended?" and added a note affirming her decision to change her recommendation. (See Attachment #6 WU Updated Physical) By March 20, 2020, Program Specialists will review all current physicals for program participants to ensure that all sections are completed. If any incomplete sections are identified, the Program Specialist will contact the individual and their parent/guardian/Supports Coordinator and have them contact their physician to have any needed sections of the physical form completed. In the future, the Program Specialists and/or Executive Director will review all annual physicals and potential applicant physicals to ensure all sections of the physical form are completed. Physicals missing any information will be returned to the individual and they will be asked to go back to the physician to have the missing information completed. 03/06/2020 Implemented
2380.176(a)Individual records containing goal plans and chart to document progress for all 42 individuals that attend the ATF is kept unlocked on a shelf near the entrance of the facility.Individual records shall be kept locked when they are unattended.The binders containing individual hard life skill goals were moved immediately to a cabinet in the program area that is equipped with a lock. (See Attachment #4 Pictures of Locked Goal Binder Cabinet). All current program staff members were trained on regulation 2380.176(a) related to proper handling and storage of all client records and signed a training record showing their participation in this training. (See Attachment #5 Individual Record Training Log). 03/06/2020 Implemented
2380.181(e)(7)Individual #1's most recent assessment dated 9/5/19 states that the individual "requires supervision when around heat sources and that she has limited awareness" however it does not assess her ability to sense and move away quickly from a heat source.The assessment must include the following information: The individual¿s knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated.The Program Specialist contacted Individual #1's family and Supports Coordinator for assistance in determining Individual #1's ability to sense and move away quickly from heat sources. (See Attachment #1 WC Email Chain) After receiving feedback, the Supports Coordinator updated the Individual's ISP (See Attachment #2 WC ISP Update) and an Addendum was completed by Able-Services' Program Specialist and added to Individual #1's 60-Day Assessment to include information regarding her ability to sense and move away quickly from heat sources. (See Attachment #3 WC Assessment Addendum) This information will be included in all further Assessments. By March 20, 2020, all current participant files will be reviewed by the Program Specialists and if any participant¿s assessments do not indicate if the individual is able to sense and move away quickly from heat sources, this correction will be made at the time of their Annual Assessment. For new individuals entering the program, the Program Specialists will ensure that their 60-day Assessment and subsequent Annual Assessments will include a statement regarding their ability to sense and move away quickly from heat sources. 03/06/2020 Implemented
SIN-00127681 Renewal 02/16/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.173(9)Individual #1's physical dated 4/25/17 states that he/she has a contraindicated medication of Ibuprofen. Individual #1's Individual Support Plan updated 12/21/17 did not list Ibuprofen as a contraindicated medication. Individual #1's ISP updated 12/21/17 indicated he/she is prescribed to take Diastat as needed for seizures lasting longer than 3 minutes. It is unclear if Individual #1 is still prescribed this medication as staff believe she is no longer prescribed it. This medication is not brought to the day program facility. According to staff Individual #1's legal guardians/parents requested that this medication not be administered at the facility by day program staff.Each individual¿s record must include the following information: Content discrepancies in the ISP, the annual update or revision under §  2380.186.Contact was made with Individual #1¿s parent and Supports Coordinator to discuss the absence of Ibuprofen being listed as an allergy on the ISP and the continued presence of Diastat as a PRN medication. The parent confirmed that Ibuprofen is contraindicated and Diastat is no longer prescribed to the individual. The Program Specialist requested that the ISP be updated to add Ibuprofen to the allergy list and to remove Diastat from the medication list. The Supports Coordinator made these requested changes, as reflected in the ISP update from 2/20/18. (See attachment #2) The Program Specialists will conduct a review of all participant records to determine if there are any other content discrepancies between physicals and ISPs that must be corrected. Any discrepancies will be brought to the attention of the Supports Coordinator and parent/guardian (as applicable) and their assistance will be requested to correct any issue(s) found. 02/20/2018 Implemented
2380.181(e)(14)Individual #2's assessment completed on 9/8/17 did not indicate if he/she is able to swim.The assessment must include the following information: The individual¿s knowledge of water safety and ability to swim.The Program Specialist contacted the participant¿s parent to determine their swimming ability. An Addendum was then completed and added to the participant¿s 60-Day Assessment to include a statement regarding her ability to swim. (See attachment #1) This information will be included in all further Assessments. All current participant files will be reviewed by the Program Specialists and if any participant¿s assessments do not indicate if he/she is able to swim, this correction will be made at the time of their Annual Assessment. For new individuals entering the program, the Program Specialists will ensure that their 60-day Assessment and subsequent Annual Assessments will include a statement regarding their ability to swim, in addition to their knowledge of water safety. 03/06/2018 Implemented
SIN-00091262 Renewal 03/10/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(7)Individual #2's physcial dated 10/5/15 did not contain health maintenance needs on the physical. The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.Contact was made with Individual #2¿s parent and Supports Coordinator explaining the need for each open spot on a physical to be completed and requesting their assistance with having Individual #2¿s physician review the physical and the individual¿s health maintenance needs in order to fill in that section. All current program files will be reviewed and physicals will be inspected to ensure that the section for health maintenance needs is completed on each physical. If it is found that the physical does not contain this information, the individual and/or their parent/guardian and their Supports Coordinator will be contacted and given a copy of the physical and asked to assist Able-Services in contacting their physician to have all sections of the physical form completed. Potential participants requesting day program services at Able-Services will be required to produce a physical with each section completed prior to beginning services. 03/21/2016 Implemented
2380.111(c)(9)Individual #1's physical dated 3/8/16 did not include allergies. Physical states none but ISP states ritalin, abilify, animal dander, dust mites, and trees. The physical examination shall include: Allergies or contraindicated medication.Contact was made with Individual #1¿s parent and Supports Coordinator to discuss the absence of any allergies being listed on the current physical, which is not consistent with what is listed in the Individual¿s ISP. Able-Services requested the assistance of the Supports Coordinator and parent in identifying the correct allergies suffered by the participant, ensuring that the physical is completed by the physician in a way that reflects his current allergies, and updating the ISP to reflect the accurate allergies suffered by the individual. Moving forward, we will alleviate this situation by reviewing all current program participant files and ensuring that all sections of the physical are completed and that allergy information matches the information found in the individual¿s ISP. Any discrepancies will be brought to the attention of the Supports Coordinator and parent in writing and their assistance will be requested to correct the issue(s) found. 03/21/2016 Implemented
2380.111(c)(10)Individual #1's physcial dated 3/8/16 does not include pertinent information to diagnosis and treatment in case of an emergency. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.Contact was made with Individual #1¿s parent and Supports Coordinator explaining the need for each open spot on a physical to be completed and requesting their assistance with having Individual #1¿s physician review the physical and fill in any pertinent information to diagnosis and treatment in case of an emergency. All current program files will be reviewed and physicals will be inspected to ensure that the section for pertinent information to diagnosis and treatment in case of an emergency is completed on each physical. If it is found that the physical does not contain this information, the individual and/or their parent/guardian and their Supports Coordinator will be contacted and given a copy of the physical and asked to assist Able-Services in contacting their physician to have all sections of the physical form completed. Potential participants requesting day program services at Able-Services will be required to produce a physical with each section completed prior to beginning services. 03/21/2016 Implemented
2380.181(e)(7)Individual #1 and #2's assessment did not state ability to sense and move away quickly from heat sources. The assessment must include the following information: The individual¿s knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated.This section of the assessment will be updated to include a statement regarding the individual¿s ability to sense and to move away quickly from heat sources. These updates will be made for Individual #1¿s Annual Assessment due 8/8/16 and Individual #2¿s Annual Assessment due 12/10/16. This correction will be made for all current program participants at the time of their Annual Assessment. For new individuals entering the program, the Program Specialist will ensure that their 60-day Assessment and subsequent Annual Assessments will include a statement regarding their ability to sense and move away quickly from heat sources. 03/12/2016 Implemented
2380.184(a)(1)(iii)Individual #1 ISP meeting on 1/19/16 did not include a direct service worker.The plan team shall participate in the development of the ISP, including the annual updates and revisions under §  2380.186 (relating to ISP review and revision).A plan team must include as its members the following: A direct service worker who works with the individual from each provider delivering a service to the individual.Individual #1 had an ISP Critical Revision meeting held on 3/16/16 that included his Direct Service Worker. In the future, every effort will be made to ensure that a Direct Service Worker is present at each ISP meeting. If a Direct Service Worker is unable to be present, due to an emergency or other unavoidable situation, documentation will be attached to the signature sheet explaining the situation and why efforts to have a Direct Service Worker present were not successful. 03/16/2016 Implemented
2380.185(b)Individual #1's ISP stated that he/she is prescribed diazepam as a prn for seizures and the medication was not located on site. The ISP shall be implemented as written.Individual #1¿s parent was contacted immediately following inspection and a new refill of the prescribed seizure medication was brought to the program to be stored in the locked medication cabinet if needed. In the future, medication expiration dates will be checked on a monthly basis and if a medication is due to expire within the next 30 days, a notification will be sent to the parent/guardian that a new refill or documentation of medication discontinuation will be needed. If the new medication or this documentation is not provided, a plan will be created upon the expiration of the medication for what staff will do if there is a need for the medication and it is not on-site. This plan may include the participant not being allowed to return to the day program until the PRN medication or proper documentation are provided. This plan will be shared with the individual and their parent/guardian prior to the expiration of the medication. 03/18/2016 Implemented
SIN-00217343 Renewal 01/30/2023 Compliant - Finalized
SIN-00183286 Renewal 02/16/2021 Compliant - Finalized
SIN-00151865 Renewal 03/01/2019 Compliant - Finalized
SIN-00107277 Renewal 03/17/2017 Compliant - Finalized
SIN-00071222 Initial review 11/13/2014 Compliant - Finalized