| 6400.141(c)(1) | The physical examination dated 2/7/17 for individual #1 did not include a review of previous medical history. This section was left blank. | The physical examination shall include: A review of previous medical history. | The physical examination shall include: A review of previous medical history.
ACHC will ensure all individuals served will have a completed physical by a license physician prior to admissions. If the physical is obtained during their residency at ACHC, the house supervisor will accompany all individuals to the doctor¿s office for their physical exam. The supervisor will ensure that all blanks on the physical are completed, or marked N/A. After the physical is completed, the house supervisor will submit the paperwork to the CEO within 48 hours for review. The CEO, Tonja Smith will ensure that the documentation is completed accurately. If the individual refuses to participate in a physical examination, the house supervisor will explain the benefits and complete proper documentation and place it in the individuals file. The house supervisor will be responsible for giving additional attempts every 30 days.
On March 27th, the CEO conducted onsite training with each house supervisor to explain the current infraction, and how the agency has implemented checks and balances to assure accuracy according to the regulations. ACHC has scheduled a new physical for the individual that we had an infraction.[Individual #1's physical examination dated 2/7/16 was updated to address medical history. (AS 5/9/17)] |
05/05/2017
| Implemented |
| 6400.213(1)(i) | The record for Individual #1 did not include color of hair, identifying marks and the religious affiliation. | Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph. | ACHC will ensure all individuals served will have a face sheet completed upon admission. The information it will contain is the following: Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph. The CEO, Tonja Smith will ensure that the face sheet is completed moving forward within 5 days of admission. The house supervisor will complete the admission face sheet, and the CEO will review and make any appropriate corrections within 48 hours after submission. After approval, the face sheet will be placed in the individuals file by the CEO.
On March 27th, the CEO conducted onsite training with each house supervisor to explain the current infraction, and how the agency has implemented checks and balances to assure accuracy according to the regulations. ACHC has completed a new face sheet for everyone we serve, and has submitted a copy to licensing for verification.[The record for Individual #1 was update to include color of hair, identify marks and religious affiliation. (AS 5/9/17)] |
05/05/2017
| Implemented |