| 6400.15(a) | Agency Self assessments were not provided. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| COMMENT
The regulatory Specialist completed self-assessments of all sites prior to the expiration of the agency¿s certificate of compliance. The self-assessments were submitted after the licensing review.
Correction ¿ Immediate Cure
WHO:
Regulatory Specialist
Program Specialist
Executive Director
WHAT:
We need to ensure the agency self-assessment is completed within 3 to 6 months prior to the expiration of the agency¿s certificate of compliance.
HOW:
We changed our policy so that we will hold two formal meetings six months before the expiration of our license and three months before the expiration of our certificate of compliance. The formal meeting will include the Regulatory Specialist, Program Specialist and Executive Director. |
08/12/2022
| Implemented |