Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00255367 Renewal 10/28/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.21(l)The provider did not hold conversations with Individual #1, Individual #2, Individual #3 and Individual #4 relating to their preferred community participation and activities as required by ODP Announcement 24-061.An individual has the right to make choices and accept risks.All program specialists will have training to review the community inclusion sheet that was approved by the ODP inspectors at the annual inspection. This sheet will be the main document to identify community discussion occurring at a minimum on at least a quarterly basis per ODP Announcement and in conjunction with individual rights. This is to include all persons supported including those in ICF/ID. This sheet needs to be signed by the program specialist and the person supported or their guardian if required by law. Other team members can review and sign if they have it reviewed with them. A blank community inclusion sheet as well as completed sheets for the 4 individuals will be included in the response. 12/12/2024 Implemented
SIN-00233590 Renewal 10/31/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(10)The 10/28/23 annual physical for Individual 1 is missing information pertinent to diagnosis and treatment in the event of an emergency. The section indicated for this information on the form is blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.1) Training of all program specialists in completing reviews of incoming medical documents for any missing areas, including medical information pertinent to diagnosis and treatment in case of emergency. The training includes the general form review as well as the specific area of the form that are required for 2380.111(c)(10). The training also includes the need to notify of the Family/Provider/Nursing Supports and if necessary, the Supports Coordinator who was responsible for completing the form that it was incomplete and needed completion. This notification will be noted in email (or via mail if the parent does not have email) and added to the file until the correction is completed. The documentation of this training, which occurred on 1/10/24, will be sent as part of the POC. 2) A letter is sent to all Families/Providers/Nursing Supports and SC agencies, specifically noting the importance of completing all area of the medical forms including, information sections, signatures and dates. If a specific section does not apply to the person that it be noted that way. A copy of this letter will be included in the POC. 3) The document for individual 1 is updated and corrected, and the original email for that correction will be included in the POC. 01/10/2024 Implemented
2380.111(c)(11)The 10/28/23 annual physical for Individual 1 is missing special instructions for the individual's diet. The section indicated for this information on the form is blank.The physical examination shall include: Special instructions for an individual's diet.1) Training of all program specialists in completing reviews of incoming medical documents for any missing areas, including the special instructions for the individual diet. The training includes the general form review as well as the specific area of the form that are required for 2380.11(c)(11). The training also includes the need to notify of the Family/Provider/Nursing Supports and if necessary, the Supports Coordinator who was responsible for completing the form that it was incomplete and needed completion. This notification will be noted in email (or via mail if the parent does not have email) and added to the file until the correction is completed. The documentation of this training that occured on 1/10/24 will be sent as part of the POC. 2) A letter is sent to all Families/Providers/Nursing Supports and SC agencies, specifically noting the importance of completing all area of the medical forms including, information sections, signatures and dates. If a specific section does not apply to the person that it be noted that way. A copy of this letter will be included in the POC. 3) The document for individual 1 is updated and corrected, and the original email for that correction will be included in the POC. 01/10/2024 Implemented
SIN-00213716 Renewal 09/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.62There were no emergency phone numbers posted near the phone in the conference room.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted on or by each telephone in the facility with an outside line.Emergency phone number sticker was attached to the phone by the site manager. - Photo verifying correction to be included with accompanying documents. 10/28/2022 Implemented
2380.111(c)(8)The physical dated 05/03/22 did not address individual 4's physical limitations. The field on the form was marked yes but was left blank in the field where the limitations were to be listed.The physical examination shall include: Physical limitations of the individual.Parents and providers will be notified via memo from the Site Manager if there is a notation of limitation, need, or deficit on the annual physical there must be a description/statement of what it is. Any accompanying documentation or assessments should also be forwarded to the person's Program Specialist at BPSQ. For individual 4 her nurse will be notified of the missing information so the form can be fully completed. 11/09/2022 Implemented
2380.181(e)(14)The Assessment dated 06/24/22 discuss if Individual 4 was able to swim in all water levels.The assessment must include the following information: The individual¿s knowledge of water safety and ability to swim.Plan addresses how to work with the person in the water, but only infers that the person cannot swim. All Program Specialists will be trained to add to the assessment whether each individual can or cannot swim, as well as any additional information, if available, on their safety around pools or bodies of water. They will review the current assessments for each person on their caseload to ensure the assessment is complete and accurate. 11/09/2022 Implemented
2380.125(b)The PRN Acetaminophen prescribed to individual 2 had expired in July of 2022. The medication was stored with the currently used medication.A prescription order shall be kept current.A lock box labeled "Outdated medication to be returned or destroyed: has been put in place. Site Manager reviewed all of the medication lock boxes and removed any outdated medication and placed same in the new lock box for outdated medications. 10/28/2022 Implemented
SIN-00159027 Renewal 07/23/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.55(a)The Sofa cushions in the main activity area of the program were stained and a black chair in the dining break area was stained with food residue.Clean and sanitary conditions shall be maintained in the facility.The Site Manger removed the cloth chair and replaced the cloth with vinyl on 7/25/19 and on 7/30/19 a new washable cover was installed on the couch. On 7/24/19 reviewed with ATF managers to be aware of these items and report them to the Site Manager or Maintenance staff. On 7/31/19 Updated the Monthly Facility Inspection to include inspect furniture for rips, holes or soiled. On 9/6/19 formal training review is completed with 2380 managers. Site Manager and Maintenance Staff are responsible for ongoing monitoring. POC follow up documentation will include Training Document and July Facility Inspection and pictures of the couch and chair modifications. 09/06/2019 Implemented
2380.67(a)Two of the chairs located in the break room of the program area were damaged, the fabric material was torn and had food debris stained into the material.Furniture and equipment shall be nonhazardous, clean and sturdy.The Site Manager removed both of the chairs from service and disposed of them on 7/24/19. On 7/24/19 reviewed with ATF managers to be aware of these items and report them to the Site Manager or Maintenance staff. On 7/31/19 updated the Monthly Facility Inspection form to include inspect furniture for rips, holes or soiled. On 9/6/19 formal training review is completed with 2380 Managers. Site Manager and Maintenance Staff are responsible for ongoing monitoring. POC follow up documentation will include Training Document and July Facility Inspection 09/06/2019 Implemented
2380.181(e)(5)Individual # 1 assessment did not include the ability to self-administer medications.The assessment must include the following information: The individual's ability to self-administer medications.The Rehabilitation Manager and Program Specialist for Individual 1, reviewed the requirements for noting ability to self-administer medications with the residential and the 2380 team and updated the assessment on 7/24/19 She also reviewed this with the other 2380 Program Specialists on 7/25/19. A formal training was conducted by Joe Boyle, Site Manager on 8/30/19 with all of the 2380 Program Specialists. The Rehabilitation Manager is responsible for monitoring future assessments. Included in the POC documentation will be the updated assessment and the training review. 08/30/2019 Implemented
2380.181(e)(6)Individual # 1 assessment did not include the ability to use/avoid poisons.The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials.The Rehabilitation Manager and Program Specialist for Individual 1, reviewed the requirements for noting ability to safely use or avoid poisonous material, when in the presence of poisonous material with the residential and the 2380 team and updated the assessment on 7/24/19 She also reviewed this with the other 2380 Program Specialists on 7/25/19. A formal training was conducted by the Site Manager on 8/30/19 with all of the 2380 Program Specialists. The Rehabilitation Manager is responsible for monitoring future assessments. Included in the POC documentation will be the updated assessment and the training review. 08/30/2019 Implemented
SIN-00135274 Renewal 05/23/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.36(g)Staff #2 CPR training was late. Completed 3/24/2016 and not again until 3/29/2018.There shall be at least one staff person for every 18 individuals, with a minimum of two staff persons present at the facility at all times who have been trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation within the past year. If a staff person has formal certification from a hospital or other recognized health care organization that is valid for more than 1 year, the training is acceptable for the length of time on the certification.The following staff in the 2380 program were certified in CPR during the 5 days that staff #2 was non-compliant for the 38 persons served in the 2380 program. SB, EH, JH, CJ, LJ and JR. Training will be held with all staff and managers on setting up CPR and First Aid training 1 month prior to the current expiration instead of the month the training is due. Human Resources will also be notified of this change for the training due dates. Rehabilitation Manager and/or Site Manager will follow up with completion dates and ensuring that staffing meets the requirements of regulation 2380.36(g). Supporting Documentation for the POC will include the training for all staff and managers and the training documentation for the staff listed above were active during the period of 3/24/18 to 3/29/18. 06/29/2018 Implemented
2380.111(c)(5)Individual #2 TB was late. Completed 12/11/2015 and not again until 1/19/2018.The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positive, an initial chest X-ray with results noted.A letter will be sent to all families, providers, and Support Coordinators stating the annual physical and bi-annual TB test must be completed within the specified time frames and that services will not be able to continue without the supporting documentation this requirement has been meet has been sent to the Program Specialist. Program Specialists will note if non attendance is due to waiting for completion of this annual documentation. Supporting documentation of this POC will include the letter to all Families/Providers and SC's. 06/29/2018 Implemented
2380.113(c)(2)Staff #2 TB test was late. Completed 3/2/2016 and not again until 3/28/2018.The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the 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, certified nurse practitioner or certified physician's assistant.Training will be held for managers stating the expectation that they must ensure TB testing and annual physicals are scheduled and completed by the required date for all associates they supervise. Documentation of the training will occur. Human Resources will send this information to managers two months prior to the expiration date of the current TB testing and annual physical for each associate they supervise, and a reminder it is their responsibility to ensure each associate schedules the required TB testing and physical prior to the current expiration date. Site Manager and Rehabilitation Manager will be responsible for sending the information from Human Resources to their staff. And Training for all staff on this procedure to occur. The Site Manager and/or Rehabilitation Manager will follow up with each manager they supervise to ensure compliance. The supporting documentation for this POC will include the 2 training's. 06/29/2018 Implemented
2380.181(e)(6)Individual #1 4/16/2018 and individual #2 5/15/2018 assessments does not state their ability to safely use poisonous materials.The assessment must include the following information: The individual¿s ability to safely use or avoid poisonous materials, when in the presence of poisonous materials.Training for Program Specialists about an individuals ability to safely use poisonous material, in addition to noting that poisonous materials are kept locked and away from individuals in the 2380 program. This information will be gathered from family/residential provider or from the individual interactions with non poisonous materials. The Rehabilitation Manager and/or the Site Manager will randomly review files throughout the year to monitor compliance and correction. Supporting documentation for the POC will include the training documentation, as well as an updated assessment for individual 2. 06/29/2018 Implemented
2380.181(e)(7)Individual #1 4/16/2018 assessment and individual #2 5/15/2018 assessment do not state their ability to sense and move away quickly from heat sources.The assessment must include the following information: The individual¿s knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated.Training will be provided to Program Specialists about stating an individuals' knowledge of the danger of heat sources and the ability to sense and move away quickly from heat sources which exceed 120 degrees, in addition to noting that heat sources that are accessible to persons in the 2380 program are under 120 degrees in each ISP. This information will be gathered from family/residential provider or from the individual interactions with the environment. The Rehabilitation Manager and/or the Site Manager will randomly review files throughout the year to monitor compliance and correction. Supporting documentation for the POC will include the training documentation as well as an updated assessment for individual 2. 06/29/2018 Implemented
2380.181(e)(13)(i)Individual #2 5/15/2018 assessment does not show progress and growth in the area of Health.The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Health.Training to be held with Program Specialists about reviewing the lifetime physical and the assessment even if an individual remained stable and unremarkable in their health for the past assessment period, and that updates to psychiatric symptoms or behavioral data impacting health must be noted. A letter will be sent to all providers stating the request for this additional information from their Nursing services. The Rehabilitation Manager and/or the Site Manger will randomly check throughout the year for compliance. The supporting documentation for the POC will include the training as well as a copy of the memo to providers. 06/29/2018 Implemented
2380.183(7)(i)Individual #1 ISP updated 2/2/2018 does not state his potential to advance in Vocational programming.The ISP, including annual updates and revisions under §  2380.186 (relating to ISP review and revision), must include the following: Assessment of the individual¿s potential to advance in the following: Vocational programming.Training was held on 5/30/18 for all Program Specialists on the need to ensure inclusion of the client's potential to advance in vocational programming in their ISP. The ISP's will be updated as reviews are scheduled for each individual. Rehabilitation Manager and/or Site Manager will randomly review ISP's to ensure follow up. Also a letter was emailed to all Supports Coordinators for persons supported on 5/30/18 stating the need for this information to be in the ISP and that the Program Specialists will review and give updates if it is not. Supporting documentation for the POC will include the training review and the letter sent to Supports Coordinators. 05/30/2018 Implemented
2380.183(7)(iii)Individual #1 ISP updated 2/2/2018 does not state his potential to advance in Competitive community-integrated employment.The ISP, including annual updates and revisions under §  2380.186 (relating to ISP review and revision), must include the following: Assessment of the individual¿s potential to advance in the following:  Competitive community-integrated employment.Training was held on 5/30/18 for all Program Specialists on the need to ensure inclusion of the client's potential to advance in community integrated employment is in the ISP, along with the individual's interests and desires of community integrated employment. The ISP's will be updated as reviews are scheduled for each individual. Rehabilitation Manager and/or Site Manager will randomly review ISP's to ensure follow up. Also, a letter was emailed to all Supports Coordinators for persons supported on 5/30/18 stating the need for this information to be in the ISP and that the Program Specialists will review and give updates if it is not. Supporting documentation for the POC will include the training review and the letter sent to Supports Coordinators. 05/30/2018 Implemented
2380.188(a)Individual #1 has a seizure disorder. There is no seizure protocol in place.The facility shall provide services including assistance, training and support for the acquisition, maintenance or improvement of functional skills, personal needs, communication and personal adjustment.Seizure protocol training for all BPSQ staff will be provided and documented by 06/30/2018. Documentation of the training will be filed in the medical section of each supported person's file who has a seizure disorder. Annual training will be provided thereafter and upon hire for all new associates. 06/29/2018 Implemented
SIN-00110999 Renewal 04/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.91(a)Individual #1's date of admission was 2/21/17 and the fire safety training was completed on 3/22/17.An individual shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general firesafety, 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 facility.All 2380 managers and all program specialists received training on 4/19/17 on regulation 2380.91. Included in the emailed documentation is the training sign in sheet as well as the training agenda. Also included is the initial Fire safety training for individuals for 2 person who started in the program. One on 4/5/17 and the other on 4/13/17. 04/19/2017 Implemented
2380.181(e)(14) Individual #1's assessment dated 3/22/17 did not document ability to swim. Individual #2's assessment dated 6/23/16 did not document ability to swim. Individual #3's assessment dated 7/15/16 did not document ability to swim.The assessment must include the following information: The individual's knowledge of water safety and ability to swim.All Program Specialist staff were trained in 2380.186(c)(4). The assessments were modified to include water safety and ability to swim. Included in the documentation to be emailed. Includes the training sign in sheet. As well as the training agenda. Also included is the assessment of water safety and ability to swim for individuals 1, 2 and 3 as well as a person who's assessment was due on 4/12/17 and the updated assessment piece included. 04/19/2017 Implemented
SIN-00090681 Renewal 01/13/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.36(f)Staff # 1's fire safety training dated 06/05/2015 was not conducted by a fire safety expert. Staff # 2's fire safety training dated 06/09/2015 was not conducted by a fire safety expert. Staff # 3's fire safety training dated 06/05/2015 was not conducted 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).The Licensing inspection instrument for Chapter 2380 interpretations state that annual fire safety films prepared by a fire safety expert meet the regulations in 2380.36 (f). During inspection the inspectors stated they would be appropriate, if the staff showing the video had been either a fire expert or had watched the video under the instruction of a fire safety expert. They further stated that a local fire fighter who could produce documentation of their training would be considered that expert. That staff so trained could then show the annual training video. Site Manager, and Program Managers as needed will be trained annually by a fire safety expert. The documentation of the fire safety expert will be emailed as well as documentation that the training has occurred with key staff discussed above by 5/15/16, before the next set of annual training that is due by 6/30/16 05/15/2016 Implemented
2380.55(a)Bathroom # 1 had a residue of feces in the toilet bowl.Clean and sanitary conditions shall be maintained in the facility.Cleaning for all toilets occurs every night by a contracted cleaning service. Site Manager will post signs in all restrooms reminding all staff and persons supported to Flush, Clean up after themselves, and to wash hands after using the restroom. Also Program Managers will remind all staff who provide restroom supports to persons supported that they are to clean up after them if necessary. and Program Managers will assign staff to check the bathrooms every 2 hours to check for urine or feces residue that need to be cleaned. 04/13/2016 Implemented
2380.111(c)(8)Individual # 1's physical examination dated 03/16/2015 did not document physical limitations.The physical examination shall include: Physical limitations of the individual.The physical exam document contains the necessary space for the physical limitations, and Individual #1 does not have any physical limitations. BARC Residential Nursing supports manager met with her staff on 4/11/16 on ensuring that all areas of the Physical form are completed and how to complete areas that are left blank. If not a BARC supported person, we will email the family or provider about the need for the medical forms to be completed in their entirety, and if they were not then supports for the person could be suspended until they were able to provide completed information. Program Specialists will review the forms to ensure they are fully completed and were trained on forms being fully completed on 4/12/16 04/12/2016 Implemented
2380.173(1)(ii)Individual #2's records did not document the individual's eye color, hair color or identifying marks.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.Individual forms will be completed based on the BARC residential form that contains all of this information, these forms will be used by Vocational Services as well. The forms will be sent to the home or residential provider of all individuals supported, and will be updated at minimum every 5 years, or sooner if there are changes to any portion of the form. Program Specialists will ensure that all blanks on the forms are filled out after they are returned and will add minor updates or changes as necessary. Training on this occurred on 4/12/16 04/12/2016 Implemented
2380.173(1)(iv)Individual # 1's record did not document the individuals religious affiliation.Each individual¿s record must include the following information: Personal information including: Religious affiliation.Individual forms will be completed based on the BARC residential form that contains all of this information, these forms will be used by Vocational Services as well. The forms will be sent to the home or residential provider of all individuals supported, and will be updated at minimum every 5 years, or sooner if there are changes to any portion of the form. Program Specialists will ensure that all blanks on the forms are filled out after they are returned and will add minor updates or changes as necessary. Training on this occurred on 4/12/16 04/12/2016 Implemented
2380.186(c)(1)Individual #2's 3 month ISP review documentation covering the period of 05/03/2015-08/03/2015 was completed on 09/04/2015.The ISP review must include the following: A review of the monthly documentation of an individual¿s participation and progress during the prior 3 months toward ISP outcomes supported by services provided by the facility licensed under this chapter.Program Specialists were trained that reviews must occur every 90 days and that additional reviews shorter than 90 day can be completed if needed for meeting dates and ISP dates. Training for this was held 2/26/16. Individual # 2 90 day reviews have been completed within 90 days since 09/04/15 04/12/2016 Implemented
SIN-00066800 Renewal 10/27/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(3)The physical examination for individual # 1 did not have an updated Diphtheria/tetanus vaccination. The most recent vaccination of record was administered 6/16/04.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(s) for the ATF Program have reviewed the immunization records for all consumers in the program and noted on a spreadsheet that lists the expiration date for each individual served. Each month, the Program Specialist(s) will review the spreadsheet to determine if any consumers iummunizations will expire in the next two (2) months. The Support Coordinators will be notified, as well as the individuals caregiver, the date by which the updated record must be received. They will be further advised the individual will not be permitted to attend the program if the record is not updated and received prior to the noted expiration date. The spreadsheet will be sent to BHSL to verify compliance with this regulation. 01/13/2015 Implemented
2380.181(e)(12)The assessment for individual #2, dated 3/10/14 did not have recommendations for specific areas of training, programming and services.The assessment must include the following information: Recommendations for specific areas of training, vocational programming and competitive community-integrated employment.The Program Specialist for the ATF program shall ensure that all annual assessments include detailed information regarding specific areas of training, vocational programming, and community-integrated employment. Annual assessments completed for three consumers post inspection will be sent to verify compliance with this regulation. The assessment for Individual #2 was updated to include specific areas of training, programming and services. The Program Specialist will conduct an audit of all assessments for participants to ensure all required elements are included in the assessments, starting within 30 days of receipt of this plan of correction. [SW 1.20.15] 01/13/2015 Implemented
2380.181(f)Individual # 1's, admitted on 7/14/14, assessment was completed on 8/19/14. The ISP meeting was held on 8/22/14.The program specialist shall provide the assessment to the SC or plan lead, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § §  2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).The requirements of this regulation have been reviewed with the Program Specialist(s) for the ATF Program to ensure understanding and future compliance. there was a new admission to the ATF Program on 01/12/15. The assessment for this individual will be sent to their Support Coordinator at least 30 days prior to their ISP meeting date and will be sent to BHSL to verify compliance. The annual assessments for three consumers will also be sent to BHSL, along with the letter to the Support Coordinators to verify compliance with this regulation. The Program Specialist will develop an auditing tracking tool to identify when assessments are completed to ensure that the assessments are sent to the team 30 days prior to the ISP meeting and conduct an audit of all participants records to ensure that they were all sent 30 days prior to the meeting, starting within 30 days of receipt of this plan of correction. [SW 1.20.15] 01/13/2015 Implemented
SIN-00056844 Renewal 10/31/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.181(f)The assessment dated 7/18/13 for individual #1 was not sent to the Support Coordinator 30 days prior to the ISP meeting held 7/23/13.(f)  The program specialist shall provide the assessment to the SC or plan lead, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § §  2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).A training was provided on 12/19/13 by the Rehabilitation Manager with the ATF Program Specialist reviewing the need to submit assessments to the respective Support Coordinator at least 30 days prior to the scheduled annual ISP meeting for each consumer served. A signed acknowledgment documenting the training was emailed on 12/19/13 to the licensing inspector. The Program Director will conduct random monthly audits of participant records to ensure that the assessments are submitted timely to the Supports Coordinator, starting 1/31/14. 12/19/2013 Implemented
SIN-00039210 Renewal 08/31/2012 Compliant - Finalized
SIN-00039126 Renewal 08/31/2012 Compliant - Finalized