Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2390.72(c)-2 | Blind and visually impaired individuals attend the vocational facility. The work aisles were not equipped with tactile guides. | If visually handicapped clients are served, work aisles shall be marked with tactile guides.
| No tactile guides - We have located appropriate guidelines and have installed. |
02/08/2018
| Implemented |
2390.85(a)-2 | The 7/13/17 fire drill log did not indicate the hypothetical location of the fire. | A written record shall be kept of the date, hypothetical location of fire and the amount of time it took for evacuation. | The oversight has been noted and the preparer counseled. Future logs will be reviewed by the Safety Committee in the future. |
12/15/2017
| Implemented |
2390.111(b) | Individual #1's pre-admission interview was completed on 12/29/16. Individual #1 was not notified of his/her acceptance to the facility until 3/24/17. | Within 30 calendar days following the interview, the client shall be notified in writing if he has been accepted for services. | Respectfully disagree. The client and team informed Handi-Crafters near final days of vocational evaluation in December 2016 that they had decided to not continue at Handi-Crafters. When the team changed their mind in March 2017 Handi-Crafters immediately issued the acceptance letter and scheduled a team meeting. |
02/08/2018
| Implemented |
2390.122 | Individual #5's 2016 assessment was purged from the record. | Client records shall be kept at the facility while the client is being served. | The PS was counseled to not purge files in the future. |
12/15/2017
| Implemented |
2390.124(10) | Individual #4's record did not contain a current Individual Support Plan. | Each client's record must include the following information: A copy of the current ISP. | Agree. #4 PS will receive intensive training. |
01/12/2018
| Implemented |
2390.151(a) | Individual #5's assessment was completed on 8/8/17. The 2016 assessment was purged from the record. It cannot be determined if the assessment was completed annually. | Each client shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter. | The PS has been counseled to not purge the prior assessment in the future. None of the other PS purged. |
12/15/2017
| Implemented |
2390.151(e)(2) | Individual #1's 5/24/17 assessment did not include his/her vocational likes and dislikes. | The assessment must include the following information: The likes, dislikes and interest of client, including vocational and employment interests of the client. | PS #1 being intensely trained. |
01/12/2018
| Implemented |
2390.151(e)(3)(ii) | Individual #1's 5/24/17 assessment did not include his/her ability to receive, retain, and carry out instruction. | The assessment must include the following information: The client's current level of performance and progress in the following areas: Communication; ability to receive, retain and carry out instructions. | PS being intensely trained. |
01/12/2018
| Implemented |
2390.151(e)(5) | Individual #2's 4/27/17 assessment, Individual #4's 3/18/17 assessment, and Individual #7's 8/17/17 assessment did not include his/her ability to self-administer medications. | The assessment must include the following information: The client's ability to self-administer medications. | We respectfully disagree regarding #2 and 7. The #2 Assessment states that the individual does not self-administer medications. #7 is not taking any medication, #4 PS being extensively trained. |
01/12/2018
| Implemented |
2390.151(e)(7) | Individual #1's 5/24/17 assessment did not include his/her knowledge of heat sources. Individual #2's 4/27/17 assessment, Individual #5's 8/8/17 assessment, Individual #6's 2/1/17 assessment, and Individual #7's 8/17/17 assessment did not include his/her ability to move away from heat sources. Individual #8's 6/5/17 assessment did not include his/her knowledge of heat sources or his/her ability to quickly move away. | The assessment must include the following information: The client'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. | #1 Agree. The knowledge and ability to move away will be better documented in the future. PS being extensively trained. |
01/12/2018
| Implemented |
2390.151(e)(10) | Individual #1's 5/14/17 assessment did not include an updated lifetime medical history. The medical history in the file was dated October 2017, after the assessment was completed. Individual #5's 8/8/17 assessment and Individual #7's 8/17/17 assessment did not include a lifetime medical history. Individual #4's 3/18/17 assessment did not include an updated lifetime medical history. | The assessment must include the following information: A lifetime medical history. | Agree #1 and #4 this PS will be extensively trained. We respectfully disagree with both #5 and #7 each of these files included correspondence requesting updated Medial History. We will, in the future, extract from the latest ISP if our request is not addressed as recommended by the Licensing Inspector. |
01/12/2018
| Implemented |
2390.151(e)(13)(i) | Individual #1's 5/24/17 assessment did not include current level of health. This section of the assessment was not completed. Individual #3's 4/1/17 assessment and Individual #4's 3/18/17 assessment did not include progress or regression over the past year in 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. | Agree this will be emphasized in our training. |
01/12/2018
| Implemented |
2390.151(e)(13(ii) | Individual #2's 4/27/17 assessment, Individual #3's 4/1/17 assessment, Individual #6's 2/1/17 assessment, and Individual #7's 8/17/17 assessment did not include progress or regression in motor and communication skills. Individual #6 and #7's assessment contained the same information as the 2016 assessment. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Motor and communication skills. | We respectfully disagree in regard to #2 and #7. #3 and #6 have been counseled to provide better documentation in the assessment. |
01/12/2018
| Implemented |
2390.151(e)(13)(iii) | Individual #2's 4/27/17 assessment, Individual #3's 4/1/17 assessment, Individual #6's 2/1/17 assessment, and Individual #7's 8/17/17 assessment did not include progress or regression over the past year in personal adjustment skills. Individual #6 and #7's assessment contained the same information as the 2016 assessment. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment. | We respectfully disagree in regard to #2 and #7. #3 and #6 have been counseled to provide better documentation in the assessment. |
01/12/2018
| Implemented |
2390.151(e)(13(iv) | Individual #1's 5/24/17 assessment did not include his/her current level of socialization skills. This section of the assessment was not completed. Individual #2's 4/27/17 assessment, Individual #3's 4/1/17 assessment, Individual #4's 3/18/17 assessment, Individual #6's 2/1/17 assessment, and Individual #7's 8/17/17 assessment did not include progress or regression over the past year in socialization skills. Individual #6 and #7's assessment contained the same information as the 2016 assessment. | 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 PS is receiving intensive training and monitoring. |
01/12/2018
| Implemented |
2390.151(e)(13)(v) | Individual #3's 4/1/17 assessment, Individual #6's 2/1/17 assessment, and Individual #7's 8/17/17 assessment did not include progress or regression over the past year in vocational skills. Individual #6 and #7's assessment contained the same information as the 2016 assessment. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: (v) Vocational skills. | Respectfully disagree. It is clearly stated that these clients have maintained vocational skills. |
02/08/2018
| Implemented |
2390.151(f) | Individual #1's 5/24/17 assessment was not sent to his/her family or residential provider. Individual #2's 4/27/17 assessment was not sent to his/her residential provider. There was no documentation in the record to show Individual #4's assessment was sent to plan team members. Individual #5's 8/8/17 assessment was not sent to his family, supports coordinator, or residential provider. | 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). | All PSs have been counseled. We will assure that ISP reviews will be provided to all team members and will be documented even when hand delivered or sent via email. |
01/12/2018
| Implemented |
2390.153(1) | Individual #4 does not have an outcome in his/her ISP for the vocational facility. | The ISP, including annual updates and revisions under § 2390.156 (relating to ISP review and revision) must include the following: Services provided to the client and expected outcomes chosen by the client and client's plan team. | PS being intensely trained. |
01/12/2018
| Implemented |
2390.153(5) | Individual #3's, Individual #4's, and Individual #8's Individual Support Plan (ISP) did not include his/her social, emotional, environmental needs plan. | A protocol to address the social, emotional and environmental needs of the client, if medication has been prescribed to treat symptoms of a diagnosed psychiatric illness. | PS #3, 4, 8. We have prepared the SEEP but it was not included in the ISP by the SC. We will be more diligent with our follow-up with SC in the future. |
01/12/2018
| Implemented |
2390.153(7)(i) | Individual #1's Individual Support Plan (ISP), Individual #3's ISP, Individual #4's ISP, and Individual #5's ISP did not include his/her potential to advance in vocational programming. | The ISP, including annual updates and revisions under § 2390.156 (relating to ISP review and revision) must include the following: Assessment of the client's potential to advance in the following: Vocational programming. | We will emphasize the importance of better documentation in our training. |
01/12/2018
| Implemented |
2390.153(7)(ii) | Individual #1's Individual Support Plan (ISP), Individual #3's ISP, Individual #4's ISP, and Individual #5's ISP did not include his/her potential to advance in competitive employment. | The ISP, including annual updates and revisions under § 2390.156 (relating to ISP review and revision) must include the following: Assessment of the client's potential to advance in the following: community-integrated employment. | We respectfully disagree with findings for #3. It is clearly documented in the file. We do, however, agree that proper documentation for #1, #4 and #5 was omitted. The PS is being further trained. |
01/12/2018
| Implemented |
2390.154(a)(1)(iii) | A direct care worker was not present or did not provide input towards the annual ISP updates for Individual #2, #3, #5, #6, #7, or #8. | The plan team shall participate in the development of the ISP, including the annual updates and revisions under § 2390.156 (relating to ISP review and revision). A plan team must include as its members the following: A direct service worker who works with the client from each provider delivering a service to the client. | We respectfully disagree. Direct care workers are always consulted prior to each ISP meeting but not always needed to attend the meeting. We utilize an "Annual Workshop Assessment" form as a tool to collect information, which is included in the client file. Additionally, the Direct Care worker provides the PS with monthly progress reports which, in addition to outcomes, includes a worker profile checklist and comments. The PS for #6 is blind and cannot read a handwritten document but includes verbal information in her assessment prep based upon her brail notes. |
02/08/2018
| Implemented |
2390.156(a) | Individual #1 was admitted to the program on 3/24/17. An Individual Support Plan (ISP) review was not completed until 9/29/17. Individual #2's ISP review covering April through June of 2017 was not completed until 8/9/17. The ISP review covering July through September of 2017 was not completed until 11/8/17. Individual #3's ISP review covering August through October of 2016 was not completed until 12/5/16. Individual #3's ISP review covering November 2016 through January 2017 was not completed until 3/4/17. | 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 client every 3 months or more frequently if the client's needs change which impacts the services as specified in the current ISP. | #1 We agree and have counseled the PS of the need to complete all reviews on a timely basis. She will receive additional training and will be closely monitored. #2 We respectfully disagree. The date cited is incorrect. The actual due date was 7/10/17 and the ISP review was completed by 8/9; within the required 30 days. The other finding was also incorrect, the proper due date was 10/10/17 which was completed by 11/8/17. #3 We respectfully disagree. The period covered was through February not January. The ISP review was completed on 2/5/17 but not signed by the client until 3/4/17 due to her absence from Handi-Crafters. |
01/12/2018
| Implemented |
2390.156(c)(1) | Individual #1's 9/29/17 Individual Support Plan (ISP) review did not include progress on the ISP outcome of earn a paycheck. Individual #1 does not have a measurable goal. | The ISP review must include the following: A review of the monthly documentation of a client's participation and progress during the prior 3 months toward ISP outcomes supported by services provide by the facility licensed under this chapter. | The PS has been counseled and will receive additional training and will be closely monitored. |
01/12/2018
| Implemented |
2390.156(c)(2) | Individual #1's 9/29/17 Individual Support Plan (ISP) review did not review his/her 1:1 supervision needs or his/her social, emotional, environmental needs (SEEN) plan. Individual #2's, #3's, #4's, and #8's ISP reviews did not include a review of the SEEN plan or behaviors/symptoms shown throughout the quarter. Individual #5's, #6's, and #7's ISP reviews only reviewed the outcome. The rest of the ISP was not reviewed. | The ISP review must include the following: A review of each section of the ISP specific to the facility licensed under this chapter. | #3,#4,#8 RE: SEEP Review#3,4. We agree with the findings. The SEEP review should have been better documented. This will be improved in the future. We respectfully disagree in regard to #2. #2 does not have SEEP. She has a Behavior Plan which has been appropriately followed and documented. 5,6,7 - The Quarterly Review did include a review of the ISP but was not specifically documented. We have immediately implemented a procedure which will better document that each section of the ISP pertaining to Handi-Crafters has been reviewed. |
01/12/2018
| Implemented |
2390.156(d) | Individual #1's 9/29/17 Individual Support Plan (ISP) review and Individual #2's ISP reviews were not sent to his/her residential provider. Individual #5's ISP reviews were not sent to his/her family, supports coordinator, or residential provider. | The program specialist shall provide the ISP review documentation, including recommendations if applicable, to the SC or plan lead, as applicable, and plan team members within 30 calendar days after the ISP review meeting. | We will assure that all ISP reviews will be sent and documented to all team members even when hand delivered or emailed and copies will be included in the client file. |
01/12/2018
| Implemented |
2390.156(e) | An option to decline the Individual Support Plan (ISP) review documentation was not provided to plan team members of Individual #1, #3, #5, #6, #7. | The program specialist shall notify the plan team members of the option to decline the ISP review documentation. | We will assure that all team members will be notified of their option to decline. |
| Implemented |
2390.159(3)(i) | Individual #1's vocational evaluation reviewing the period of time between 12/29/16 and 1/16/17 did not include his/her current level of vocational functioning. | If the facility provides vocational evaluation, the following apply: The written evaluation must include the following information: The client's current level of vocational functioning. | We respectfully disagree. The narrative states that she was unable to perform work sample functions during vocational evaluation functions and was assigned to a workshop where "she needs hand-over-hand assistance with a 1:1". We will, however, include a new document we have developed which will specifically address each requirement as a supplement to our narrative. |
12/15/2017
| Implemented |
2390.159(3)(iii) | Individual #1's vocational evaluation reviewing the period of time between 12/29/16 and 1/16/17 did not include his/her vocational interests. | If the facility provides vocational evaluation, the following apply: The written evaluation must include the following information: The vocational interests of the client. | We respectfully disagree. The narrative states that she was unable to complete evaluation test including the Vocational Interest Inventory due to her limitations and that her vocational interest is limited at this time to working at Handi-Crafters with assistance from a 1:1 so she can earn a paycheck. We will, however, include a new document we have developed which will specifically address each requirement as a supplement to our narrative. |
12/15/2017
| Implemented |
2390.159(3)(iv) | Individual #1's vocational evaluation reviewing the period of time between 12/29/16 and 1/16/17 did not include his/her level of personal and social adjustment skills. | If the facility provides vocational evaluation, the following apply: The written evaluation must include the following information: The client's level of personal and social adjustment. | We respectfully disagree. The narrative states that she is friendly and eager to stay in the workshop with her team. We will, however, include a new document we have developed which will specifically address each requirement as a supplement to our narrative. |
12/15/2017
| Implemented |
2390.159(3)(v) | Individual #1's vocational evaluation reviewing the period of time between 12/29/16 and 1/16/17 did not include his/her work attitude. | If the facility provides vocational evaluation, the following apply: The written evaluation must include the following information: The client's work attitude. | We respectfully disagree. The narrative specifically states that she is eager to work and has a "never quit attitude." We will, however, include a new document we have developed which will specifically address each requirement as a supplement to our narrative. |
12/15/2017
| Implemented |
2390.159(3)(vi) | Individual #1's vocational evaluation reviewing the period of time between 12/29/16 and 1/16/17 did not include his/her fatigue levels. | If the facility provides vocational evaluation, the following apply: The written evaluation must include the following information: The client's fatigue levels. | We respectfully disagree. The narrative states that she is able to work in the workshop without difficulty from approximately 9:30 to 3:00 with assistance from a 1:1. We will, however, include a new document we have developed which will specifically address each requirement as a supplement to our narrative. |
12/15/2017
| Implemented |
2390.159(3)(viii) | Individual #1's vocational evaluation reviewing the period of time between 12/29/16 and 1/16/17 did not include his/her recommendations for training or placement. | If the facility provides vocational evaluation, the following apply: The written evaluation must include the following information: Recommendations for specific areas of training or placement. | We respectfully disagree. The narrative indicates that "training and working wither her 1:1 may help to the point where the 1:1 may be able to fade in the future." We will, however, include a new document we have developed which will specifically address each requirement as a supplement to our narrative. |
12/15/2017
| Implemented |