Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.36(f) | Staff# 1's annual fire safety training dated 09/17/2015 was not completed by a fire safety expert.
Staff # 2's annual safety training dated 09/23/2015 was completed by a fire safety expert.
| Program specialists and direct service workers shall be trained annually by a firesafety expert in the training areas specified in subsection (f). | All staff will be trained annually be a fire safety expert. The fire safety expert will have the proper documentation proving their credentials to the program director yearly.(The program director or designee will conduct a record review of all staff which will be completed within 30 days of receipt of this plan in order to identify any other staff out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08/03/2016)
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04/11/2016
| Implemented |
2380.111(a) | Individual # 2's previous physical examination was dated 05/28/2014 and most recent physical examination was dated 06/17/2015. | Each individual shall have a physical examination within 12 months prior to admission and annually thereafter. | The program specialist will send out a 3 month reminder prior to the date a physical is needed for an individual. A 1 month reminder will be sent by the program specialist to both the home provider and supports coordinator.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
05/13/2016
| Implemented |
2380.111(c)(3) | Individual # 1's most recent diphtheria and tetanus was administered on 01/23/2004. | The physical examination shall include: Immunizations as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | The program specialist will review the physical and assure that the immunizations are completed when it is turned into the day program. If it is not complete the program specialist will contact the home provider and request the information that is missing from the physical.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.111(c)(4) | Individual # 5's physical examination dated 05/12/2015 indicated further evaluation is recommended for a vision screening and there was no documentation this occurred. | The physical examination shall include: Vision and hearing screening, as recommended by the physician. | The program specialist will review the physical and assure it is complete. If there are any areas that require follow up the program specialist will contact the home provider and request the additional information.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.111(c)(10) | Individual # 2's physical examination dated 06/17/2015 did not document information pertinent to diagnosis and treatment in case of an emergency.
Individual # 3's physical examination dated 09/09/2015 did not document information pertinent 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. | The program specialist will review the physical and assure that the medical information pertinen to diagnosis is completed when it is turned into the day program. If it is not complete the program specialist will contact the home provider and request the information that is missing from the physical.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.113(b) | Staff# 1's physical examination completed on 08/04/2015 was not dated by the physician.
Staff # 2's physical examination completed on 12/03/2015 was not dated by physician.
Staff # 3's physical examination completed on 09/05/2015 was not dated by physician.
| The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or certified physician's assistant. | The program specialist will review the physical and assure that physician has dated it when it is turned into the day program. If it is not complete the program specialist will contact the home provider and request the information that is missing from the physical.(The program director or designee will conduct a record review of all staff which will be completed within 30 days of receipt of this plan in order to identify any other staff out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08/03/2016) |
04/11/2016
| Implemented |
2380.173(1)(ii) | Individual #5's record did not document the individual's identifying marks.(Repeat Violation 11.13.14) | 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 program specialist will fill out the personal information sheet including race, height, weight, color of hair, color of eyes and identifying marks. If any of the information is not applicable it will be marked with a N/A. They will then turn the sheet into the program director who will review it for compliance with regulations.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.173(1)(iv) | Individual # 4's record did not document the individual's religious affiliation.(Repeat Violation 11.13.14) | Each individual¿s record must include the following information: Personal information including: Religious affiliation. | The program specialist will fill out the personal information sheet which includes religious information. If it is not applicable it will be marked N/A. The sheet will then be turned into the program director who will review the sheet for compliance with regulations.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.177 | Individual # 1's record did not contain a written consent for release of information. | Written consent of the individual, or the individual's parent or guardian if the individual is incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it. | The program specialist shall obtain written consent for release of information from individuals yearly. After obtaining the consents they will share them with the program director.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.181(d) | Individual # 2's annual assessment dated 10/30/2015 was not dated when the program specialist signed and completed the assessment.
Individual # 5's annual assessment dated 01/12/2015 was not dated when the program specialist signed and completed the assessment.
| The program specialist shall sign and date the assessment. | The annual assessment will be signed and dated by the program specialist. After completion the program specialist will turn the assessment into the program director who will review the document to assure that it complies with all regulations. Also, the assessment format was updated to reflect a completed by and date section at the end of the assessment.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.181(e)(13)(iv) | Individual # 2's annual assessment dated 10/30/2015 did not document progress and growth in the area of socialization.
Individual # 5's annual assessment dated 01/12/2015 did not document progress and growth in the area of socialization.
| The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Socialization. | The program specialist will document in the annual assessment progress and growth over the last 365 days in the area of socialization. After the annual assessment is completed it will be turned into the program director who will review the document to assure that it complies with all regulations.(All program specialists will be retrained in their job duties and the program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.181(e)(13)(v) | Individual # 2's annual assessment dated 10/30/2015 did not document progress and growth in the area of recreation.
Individual # 5's annual assessment dated 01/12/2015 did not document progress and growth in the area of recreation.
| The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Recreation. | The program specialist will document progress and growth over the last 365 days in the annual assessment in the area of recreation. After the annual assessment is completed it will be turned into the program director who will assure that the document complies with all regulations.(All program specialists will be retrained in their job duties and the program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.181(e)(13)(vi) | Individual # 2's annual assessment dated 10/30/2015 did not document progress and growth in the area of community integration.
Individual # 5's annual assessment dated 01/12/2015 did not document progress and growth in the area of community integration.
| The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Community-integration. | The program specialist will document in the annual assessment progress and growth over the last 365 days in the area of community intergration. After the annual assessment is completed it will be turned into the program director who will review the document to assure that it complies with all regulations.(All program specialists will be retrained in their job duties and the program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.185(a) | Individual # 1's 3 month ISP review documentation dated 10/17/2015-01/31/2015 was not implemented by the ISP start date of 01/23/2015.
Individual # 5's 3 month ISP review documentation covering the period of 02/05/2015-5/20/2015 was not implemented by the ISP start date of 05/15/2015.
| The ISP shall be implemented by the ISP's start date. | The program specialist will adjust 3 month ISP review documentation to coincide with the ISP start date.(The program specialists will be retrained in their job duties and a record review of all individuals served will be completed within 30 days of receipt of this plan. Any individual three month ISP reviews documentation found out of compliance with be correct within 15 days. A tracking system will be developed to ensure the three month ISP reviews follow the individual's ISP annual review update date. DS 08/03/2016) |
04/11/2016
| Implemented |
2380.185(b) | Individual # 2's 3 month ISP review documentation covering the period of 04/17/2015, 07/14/2015, 10/08/2015 and 01/07/2016 implemented a "range of motion" outcome and a "prevocational job" outcome and did not report on the outcome identified in the ISP dated 04/07/2015 of "engagement in a sensory activity daily". | The ISP shall be implemented as written. | The room leader will review the outcome section of the ISP upon receipt of the document to assure that the outcome matches what is to be reported on. If it does not the room leader will inform the program specialist who will contact the supports coordinator via letter and request that the ISP be updated to reflect the proper ISP outcomes. (All program specialists will be retrained in their job duties and the program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.186(a) | Individual # 2's 3 month ISP review documentation reviewing the period of 04/07/2015-07/14/2015 is greater than 3 months.
Individual # 5's 3 month ISP review documentation reviewing the period of 02/05/2015-05/20/2015 is greater than 3 months.
| The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the facility licensed under this chapter with the individual every 3 months or more frequently if the individual¿s needs change which impact the services as specified in the current ISP. | The program specialist will complete the 3 month ISP review documentation and then turn it into the program director. The program director will review the documentation to assure that it falls within the 3 month period. Also, the 3 month ISP review documentation format was changed to reflect reporting periods.(The program specialists will be retrained in their job duties and a record review of all individuals served will be completed within 30 days of receipt of this plan. A tracking system will be developed to ensure the three month ISP reviews are completed according to the timeframe outlined in the regulations. DS 08/03/2016) |
04/11/2016
| Implemented |
2380.186(b) | Individual # 5's 3 month ISP review documentation reviewing the period of 05/20/2015, 08/26/2015 and 11/28/2015 was not dated when the program specialist signed and completed the review. | The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. | The program specialist will sign and date the 3 month ISP review documentation. They will then turn the document into the program director who will review it to assure that it complies with all regulations. Also, the 3 month ISP review documentation format was changed to reflect a date completed space.(All program specialists will be retrained in their job duties and the program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |
2380.186(c)(3) | Individual # 2's 3 month ISP review documentation dated 04/17/2015, 07/14/2015, 10/08/2015 and 01/07/2016 reported on a "range of motion" outcome and a "prevocational job" outcome and did not report on the outcome identified in the ISP dated 04/07/2015 of "engagement in a sensory activity daily". The program specialist did not request a change to the ISP. | The ISP review must include the following: The program specialist shall document a change in the individual¿s needs, if applicable. | The room leader will review the outcome section of the ISP upon receipt of the document to assure that the outcome matches what is to be reported on. If it does not the room leader will inform the program specialist who will contact the supports coordinator via letter and request that the ISP be updated to reflect the proper ISP outcomes.(All program specialists will be retrained in their job duties and the program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) |
04/11/2016
| Implemented |