Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.31(b) | Individual #1, date of admission 1/2/18, did not sign and date acknowledging receipt of the information on rights upon admission. | Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. | The plan to address this issue of non-compliance is to have individual #1 sign and date the information for Individual's Rights. This was completed on 4.6.2018.The plan to alleviate this violation moving forward is that AMA has implemented an Admission Process that utilizes a Transition plan to review all individuals referred for services at AMA In the Transition Plan, On Move in Day , the Program Specialist will Review the Statement of Individual Rights with the individual and or the individual's parent, guardian or advocate and have them sign this form. This review will occur annually thereafter. [Individual #1 signed statement acknowledging receipt of information on rights on 4/18/2018. Immediately, the CEO or designee shall develop and implement a tracking system to ensure all individuals are informed of individual right, timely and signed statements are kept. Immediately, upon admission and quarterly for 1 year, the CEO or designated management staff person shall audit all individuals statements acknowledge receipt of information of rights and the aforementioned tracking system to ensure all individuals are informed of individual rights timely and statement acknowledging receipt is kept. Documentation of audits shall be kept. (AS 5/1/18)] |
04/06/2018
| Implemented |
6400.44(b)(10) | The program specialist did not review, sign, and date the monthly documentation for Individual #1, date of admission 1/2/18. The program specialist did not review, sign, and date the monthly documentation for Individual #2, date of admission 8/3/17. | The program specialist shall be responsible for the following: Reviewing, signing and dating the monthly documentation of an individual'ss participation and progress toward outcomes. | The plan to address this issue of non-compliance is that ISP Goal Data documentation has been implemented on 2.26.2018. With this in place, a monthly review will be generated on 4.9.2018. This ISP review will be provided to all member's of individual #1's team. The plan to alleviate this violation in the future is that AMA Support Serrvices has implemented a Monthly Review Process The Program Specialist is responsible for the monitoring and completion of this process. This process is, the Program Specialist will generate monthly documentation of an individual's participation and progress toward outcomes.[Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist of the responsibilities of program specialist position as per 6400.44(b)(1)-(19). Documentation of the trainings shall be kept. At least quarterly for 1 year, the CEO or designee shall review all individuals' monthly documentation to ensure the program specialist reviews, signs and dates all individuals' monthly documentation of an individual's participation and progress toward outcomes as required. Documentation of audits shall be kept. (AS 5/1/18)] |
04/09/2018
| Implemented |
6400.46(a) | The home did not provide orientation for Direct Service Worker #1, date of hire 1/1/18. | The home shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. | The plan to address this issue of non-compliance is that the Direct-Service Worker # 1 completed this orientation training on 4.5.2018.The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Direct Service Worker #1 had orientation on 4/5/18. Immediately and upon hire, the CEO or designee shall audit all staff persons' orientations to ensure all staff persons have orientation relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. Documentation of audits shall be kept. (AS 5/1/18)] |
04/05/2018
| Implemented |
6400.46(e) | Direct Service Worker #1, date of hire 1/1/18, did not have training in the areas of intellectual disability, the principles of normalization, rights, and program planning and implementation. | Program specialists and direct service workers shall have training in the areas of intellectual disability, the principles of normalization, rights and program planning and implementation, within 30 calendar days after the day of initial employment or within 12 months prior to initial employment. | The plan to address this issue of non-compliance is that the Direct-Service Worker # 1 completed this orientation training on 4.5.2018.The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Direct Service Worker #1 had training in the areas of intellectual disability, the principles of normalization, rights, and program planning and implementation on 4/5/18. Program Specialist #2 had training in the areas of intellectual disability, the principles of normalization, rights, and program planning and implementation on 3/5/18. Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' trainings to ensure all staff persons have training in the areas of intellectual disability, the principles of normalization, rights and program planning and implementation, within 30 calendar days after the day of initial employment or within 12 months prior to initial employment. Documentation of audits shall be kept. (AS 5/1/18)] |
04/05/2018
| Implemented |
6400.46(f) | Direct Service Worker #1, date of hire 1/1/18, did not have fire safety training before working with individuals. | Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. | The plan to address this issue of non-compliance is that the Direct-Service Worker # 1 completed this orientation training on 4.5.2018.The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Direct Service Worker #1 had fire safety training on 4/5/18. . Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' trainings to ensure all staff persons are trained in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. . Documentation of audits shall be kept. (AS 5/1/18)] |
04/05/2018
| Implemented |
6400.46(h) | Direct Service Worker #1, date of hire 1/1/18, did not have training in first aid techniques before working with individuals. | Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home, shall be trained before working with individuals in first aid techniques. | The plan to address this issue of non-compliance is that the Direct-Service Worker # 1 completed this training in first aid techniques on 4.5.2018. The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Direct Service Worker #1 was trained in CPR/FA on 4/5/18.Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' trainings to ensure all staff persons are trained before working with individuals in first aid techniques. Documentation of audits shall be kept. (AS 5/1/18)] |
04/05/2018
| Implemented |
6400.68(b) | On 3/20/18, at 11:13 AM, the hot water temperature in the bathtub to the left of the hallway on the main floor measured 151.3°F. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The plan to address this issue of non-compliance is that the thermometer on the water tank in this home was lowered. The water was re-tested within 6400 regulation guidelines on 3.20.2018.
The plan to alleviate this violation is that mixing valves will be placed on all water heaters by a certified plumber to maintain water temperatures within the 6400 regulation guidelines. [On 4/18/18, the hot water temperature did not exceed 120°F. Mixing valves were installed on 4/16/18. Immediately, and continuing at least weekly for 2 months and then continuing at least monthly, the CEO or designee educated in measuring and adjusting hot water temperatures shall measure all the hot water temperature in all bathtubs and showers at all community homes to ensure the hot water temperatures in bathtubs and showers does not exceed 120°F. Documentation of temperatures shall be kept and reviewed by a designated management staff person at least monthly. (AS 5/1/18)] |
04/30/2018
| Implemented |
6400.113(a) | Individual #1, date of admission 1/2/18, did not have fire safety training. | An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. | The plan of correction to address this issue of non-compliance is that individual # 1 will complete fire safety training on 4.5.2018.The plan to alleviate this violation moving forward is the implementation of the Admission process here at AMA. As outlined in the Admission Process, on the day of admission at AMA all individuals will complete emergency training. From this admission date, Individual Emergency Training will be completed annually.
The Program Specialist will be responsible for the completion of this initial and annual Individual Emergency Training.[Immediately and continuing quarterly for 1 year, the CEO or designee shall audit all individuals' fire safety training to ensure all individual are instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home, timely. (AS 5/1/18)] |
04/05/2018
| Implemented |
6400.141(c)(4) | Individual #2's physical examination completed 12/12/17 did not include a hearing screening. This section was left blank. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | The plan to alleviate this violation moving forward is the implementation of an Admission Process here at AMA Support Services. AMA has implemented an Admission Process for the review of all individual referred for services. As part of this Admission Process, a Transition Plan has been developed. In Section 4 of this Transition Plan: One Week Prior to Admission Day, securing a Physical Examination completed by a Licensed Physician will include a vision and hearing screening test. This Admission Process is the responsibility of the Program Specialist. [Individual #2 has a physical examination scheduled on 5/14/18. Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist on the required information to be included in individuals' physical examinations as per 141(c)(1)-(15) and that required areas must not be left blank. Documentation of the training shall be kept. Immediately, upon admission and upon completion and at least quarterly for 1 year, the CEO or designee shall audit all individuals' current physical examinations to ensure all required information is included and there are not any required areas left blank. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/21/2018
| Implemented |
6400.141(c)(6) | Individual #2's physical examination completed 12/12/17 did not include Tuberculin testing. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | The plan to alleviate this violation moving forward is that AMA Support Sertvices has implemented an Admission Process for the review of all individual referred for services. As part of this Admission Process, a Transition Plan has been developed. In Section 4 of this Transition Plan: One Week Prior to Admission Day, securing a Physical Examination completed by a Licensed Physician will include a negative Mantoux test. This Admission Process is the responsibility of the Program Specialist. The TB testing will then be completed every 2 years as long as the individual remains in AMA Support Services care. [Individual #2 has a physical examination scheduled on 5/14/18. Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist on the required information to be included in individuals' physical examinations as per 141(c)(1)-(15) and that required areas must not be left blank. Documentation of the training shall be kept. Immediately, upon admission and upon completion and at least quarterly for 1 year, the CEO or designee shall audit all individuals' current physical examinations to ensure all required information is included and there are not any required areas left blank. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/21/2018
| Implemented |
6400.141(c)(11) | Individual #2's physical examination completed 12/12/17 did not include an assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. This section was 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. | The plan to alleviate this violation moving forward is that AMA Support Services has implemented an Admission Process for the review of all individual referred for services. As part of this Admission Process, a Transition Plan has been developed. In Section 4 of this Transition Plan: One Week Prior to Admission Day, securing a Physical Examination completed by a Licensed Physician providing an assessment of the individual's health maintenance needs, medication regimen and need for blood work at recommended levels. This Admission Process is the responsibility of the Program Specialist. [Individual #2 has a physical examination scheduled on 5/14/18. Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist on the required information to be included in individuals' physical examinations as per 141(c)(1)-(15) and that required areas must not be left blank. Documentation of the training shall be kept. Immediately, upon admission and upon completion and at least quarterly for 1 year, the CEO or designee shall audit all individuals' current physical examinations to ensure all required information is included and there are not any required areas left blank. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/21/2018
| Implemented |
6400.141(c)(12) | Individual #2's physical examination completed 12/12/17 did not include: physical limitations of the individual. This section was blank. | The physical examination shall include: Physical limitations of the individual. | The plan to alleviate this violation moving forward is that AMA Support Services has implemented an Admission Process for the review of all individual referred for services. As part of this Admission Process, a Transition Plan has been developed. In Section 4 of this Transition Plan: One Week Prior to Admission Day, securing a Physical Examination completed by a Licensed Physician will include information regarding the any physical limitations of the individual. This Admission Process is the responsibility of the Program Specialist. [Individual #2 has a physical examination scheduled on 5/14/18. Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist on the required information to be included in individuals' physical examinations as per 141(c)(1)-(15) and that required areas must not be left blank. Documentation of the training shall be kept. Immediately, upon admission and upon completion and at least quarterly for 1 year, the CEO or designee shall audit all individuals' current physical examinations to ensure all required information is included and there are not any required areas left blank. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/21/2018
| Implemented |
6400.141(c)(14) | Individual #2's physical examination completed 12/12/17 did not include: medical information pertinent to diagnosis and treatment in case of an emergency. This section was blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | The plan to alleviate this violation moving forward is that AMA Support Services has implemented an Admission Process for the review of all individual referred for services. As part of this Admission Process, a Transition Plan has been developed. In Section 4 of this Transition Plan: One Week Prior to Admission Day, securing a Physical Examination completed by a Licensed Physician will include pertinent medical information to diagnosis and treatment in case of emergency. This Admission Process is the responsibility of the Program Specialist. [Individual #2 has a physical examination scheduled on 5/14/18. Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist on the required information to be included in individuals' physical examinations as per 141(c)(1)-(15) and that required areas must not be left blank. Documentation of the training shall be kept. Immediately, upon admission and upon completion and at least quarterly for 1 year, the CEO or designee shall audit all individuals' current physical examinations to ensure all required information is included and there are not any required areas left blank. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/21/2018
| Implemented |
6400.151(a) | Direct Service Worker #1, date of hire 1/1/18, had physical examination completed 2/19/18. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | The plan to alleviate this violation in the future is the implementation of the New Hire/On boarding process implemented here at AMA. This process is managed by the HR manager who completes an initial screening of all potential applicants, completes a telephone pre-screening, schedules an interview and if the applicant is selected as an AMA employee, an offer letter with instructions on completing a Physical/TB and the required Physical form is provided to the potential AMA employee. Prior to being scheduled for New Hire orientation, the potential staff must provide a copy of the Physical with a TB test that has been read to the HR Manager. Once this is secured, the potential employee is scheduled for New Hire Orientation Training Class.[Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' records to ensure all staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
6400.151(c)(2) | Direct Service Worker #1, date of hire 1/1/18, had tuberculin skin testing completed 2/22/18. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | The plan to alleviate this violation in the future is the implementation of the New Hire/On boarding process implemented here at AMA. This process is managed by the HR manager who completes an initial screening of all potential applicants, completes a telephone pre-screening, schedules an interview and if the applicant is selected as an AMA employee, an offer letter with instructions on completing a Physical/TB and the required Physical form is provided to the potential AMA employee. Prior to being scheduled for New Hire orientation, the potential staff must provide a copy of the Physical with a TB test that has been read by a registered nurse or a licensed practical nurse, licensed physician, licensed physician's assistant or a certified nurse practioner to the HR Manager. Once this is secured, the potential employee is scheduled for New Hire Orientation Training Class.[Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' records to ensure all staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination including Tuberculin testing within 12 months prior to employment and every 2 years thereafter. Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
6400.163(c) | Individual #1's psychiatric medication review completed 3/8/18 did not include the need to continue the medication and the necessary dosage. Individual #2's psychiatric medication reviews completed 12/1/7, 1/3/18, 2/1/18/ 3/1/18, 3/17/18 did not include the need to continue the medication and the necessary dosage. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The plan to alleviate this violation moving forward is the implementation of the Medical Appointment Process. This process will be the responsibility of the Program Specialist. This process will be : all medical appointments will be entered in Therap-the web-based electronic record and documentation system utilized by AMA Support Services. All medical appointments will be entered for each individual in the Health section in Therap. Once entered, the appointments populate on the Therap Appointment Calendar. Reminders for all up and coming appointments are provided through the Therap system. In addition to tracking all medical appointments, a medical consultation form is generated with space provided for the licensed physician to document : the reason for prescribing the medication, the need to continue the medication and the necessary dosage.[Immediately and upon completion, the CEO or designee who is certified to administer medication and educated in the requirements of psychiatric medication reviews as per 6400.163(c) shall audit all individuals' psychiatric medication reviews to ensure timely completion and that all required information is included and individuals are administered medications as prescribed. Documentation of audits shall be kept. (AS 5/1/18)] |
05/01/2018
| Implemented |
6400.181(e)(1) | The assessment dated 9/30/17 for Individual #2 did not include functional strengths, needs and preferences of the individual. This section was blank. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | The plan to address this issue of non-compliance is that the Program Specialist has updated individual # 1's assessment to include functional strengths, needs and preferences of the individual. This was completed on 3.22.2018.The plan to alleviate this violation moving forward is the implementation of an Assessment Process at AMA. This process is : the Program Specialist will complete the Initial Functional Assessment within 60 days of admission and annually thereafter. [Within 15 days of receipt of the plan of correction the CEO or designee shall educate the program specialist of the information that must be included in individual assessments as per 6400.181(e)(1)-(14). Documentation of the training shall be kept. Immediately and within 5 days of completion for 1 year, the CEO or designee shall audit all individuals' assessments to ensure the program specialist completed all individuals' assessments with all required information. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/22/2018
| Implemented |
6400.181(e)(2) | The assessment dated 9/30/17 for Individual #2 did not include likes, dislikes and interest of the individual. This section was blank. | The assessment must include the following information: The likes, dislikes and interest of the individual. | The plan to address this issue of non-compliance is that the Program Specialist has updated individual # 1's assessment to include the likes, dislikes and interests of the individual. This was completed on 3.22.2018.
The plan to alleviate this violation moving forward is the implementation of an Assessment Process at AMA. This process is : the Program Specialist will complete the Initial Functional Assessment within 60 days of admission and annually thereafter.[Within 15 days of receipt of the plan of correction the CEO or designee shall educate the program specialist of the information that must be included in individual assessments as per 6400.181(e)(1)-(14). Documentation of the training shall be kept. Immediately and within 5 days of completion for 1 year, the CEO or designee shall audit all individuals' assessments to ensure the program specialist completed all individuals' assessments with all required information. Documentation of the audits shall be kept. (AS 5/1/18)] |
03/22/2018
| Implemented |
6400.186(a) | The program specialist did not complete an ISP review for Individual #2, date of admission 8/3/17. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. | The plan to address this issue of non-compliance is that ISP Goal Data documentation has been implemented on 2.26.2018. With this in place, a 3-month review will be generated on 5.26.2018. This ISP review will be provided to all member's of individual #2's team. This Quarterly Report will be generated on 5.26.2018.
The plan to alleviate this violation in the future is that AMA has implemented a Quarterly Review Process The Program Specialist is responsible for the monitoring and completion of this process.
This process is, the Program Specialist will generate a 3-month, ISP review report from the ISP data that has been entered in Therap, the web-based recording and documentation system in use by AMA. The Program Specialist will provide the ISP review report will be provided to all members on the individuals team.[Within 15 days of receipt of the plan of correction, the CEO or designee shall educated the program specialist of the responsibilities of program specialist position as per 6400.44(b)(1)-(19). Documentation of the trainings shall be kept. At least quarterly for 1 year, the CEO or designee shall audit all individuals' ISP reviews to ensure the program specialist has completed ISP reviews of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. Documentation of audits shall be kept. (AS 5/1/18)] |
02/26/2018
| Implemented |
6400.213(1)(i) | Individual #1's record did not include identifying marks and there was not a date on the photograph. | 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 plan to address this issue of non-compliance is that the identifying marks missing from Individual # 1's record has been revised to include all identifying mark information. A date on Individual # 1's photo has been placed on the back of this photo.The plan on how this violation will be alleviated moving forward is-AMA has implemented the use of an electronic record system, Therap. Therap is a web-based service that provides an integrated system for documentation, reporting and communication. AMA has implemented an Admission Process for the review of all individual referred for services. As part of this Admission Process, a Transition Plan has been developed. In Section 4 of this Transition Plan: One Week Prior to Admission Day, entering the individual's personal information in the Individual Data form in Therap is an identified step to be completed in this Transition Plan. In Section 4 of the Transition Plan: On Move in Day-taking a picture and uploading this photo into Therap on the Individual data form is an identified step in this Transition Plan.
The Admission Process and completion of the Transition Plan is the responsibility of the Program Specialist.
The Admission Process is supported in AMA's Policy and Procedure Manual; Section F: Program Record Keeping-F1: Individual Records-Procedure-Each record will include-Personal information including : name, sex, admission date, birthdate, social security #, race, height, weight, color of hair, color of eyes and identifying marks. Language and the means of communication spoken or understood by the individual and the primary language used in the individual's home, if other than English. Religious affiliation, next of kin and a current dated photograph.[Immediately and continuing at least quarterly for 1 year, the CEO or designee educated in the required information in individuals' records as per 6400.213(1)-(14) shall audit all individuals' records to ensure all required information as per 6400.213(1)-(14) is included. Documentation of audits shall be kept. (AS 5/1/18)] |
03/22/2018
| Implemented |