| 2390.21(u) | The facility shall inform and explain client rights and the process to report a rights violation to the client, and persons designated by the client, upon admission to the facility and annually thereafter. Individual #1 was informed of their rights on 2/21/22 and not again until 3/16/23. This exceeds the requirement. | The facility shall inform and explain client rights and the process to report a rights violation to the individual, and persons designated by the client, upon admission to the facility and annually thereafter. | Program Specialist will review all program participants individual rights prior to the date of the previous years' individual rights participants signature date. |
12/12/2023
| Implemented |