| 2380.111(c)(4) | Individual #1's annual physical examination, completed on 12/6/2023, did not include a hearing screening. This section was left blank. Individual #2's annual physical examination, completed on 9/1/2023, did not include vision and hearing screenings. The Primary Care Physician noted that individual #2 should follow-up with specialists; however, no documentation of these examinations could be provided by the agency. Individual #3's annual physical examination, completed on 7/27/2023, did not include a vision screening. The Primary Care Physician noted that individual #3 is followed by an optometrist; however, documentation of this examination could not be provided by the agency. | The physical examination shall include: Vision and hearing screening, as recommended by the physician. | On 1/26/24, the Program Specialist contacted the caregiver for individual #1 to request that the physical exam be completed in its entirety, or to provide missing information in the form of documentation.
For individual #2 ¿ on 1/26/24 documentation from follow up specialist has been requested by the Program Specialist to caregiver.
For individual #3 ¿ on 1/26/24 documentation from the optometrist has been requested by the Assistant Director. Assistant director contacted individual #3s residential provider. |
01/26/2024
| Implemented |
| 2380.111(c)(10) | Individual #3's annual physical examination, completed on 7/27/2023, did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Following inspection, on 1/26/24, the Program Specialist requested residential provider that a physical form be completed in its entirety, which includes the section about medical information being pertinent to diagnosis and treatment in case of emergency. |
01/26/2024
| Implemented |