| 6400.15(a) | The self-assessment did not include a completion date; therefore, compliance was unable to be measured. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| A procedure will be written that the Executive Director will disburse the current Licensing Inspection Instrument Scoresheet Facility Chapter 6400 Community Homes annually on or before January 19th which is 6 months prior to the expiration date of the Certificate of Compliance. The inspection instruments will be due from the following positions on or before March 31st: Residential Program Supervisor and Program Specialist. The inspection instrument will be due from the Administrative Officer who completes the Staffing section including the training requirements in Regulation 46 and Staff Health including physicals on or before April 15th which is approximately 3 months prior to the expiration of the Certificate of Compliance. The Executive Director will ensure the deadlines are met and then compile the data into one scoresheet for each residential home on or before April 18th which is 3 months prior to the expiration date. |
10/04/2015
| Implemented |
| 6400.141(c)(15) | Physical examination, dated 7/7/2015, for Individual #1 did not include special instructions for diet. | The physical examination shall include:Special instructions for the individual's diet. | The Annual Physical Exam form will be revised to include a separate line item for special diet instructions and a procedure will be written to include that all sections are to be completed or responded to by the physician prior to leaving the medical provider's office. The Residential Program Supervisor responsible for the Individual Health section of the regulations will ensure each section is completed or responded to by the physician before processing including filing and submission to appropriate team members.[Residential Program Superviors will immediately review all current physicals for all individuals to ensure completion for all required information and will address as needed. (AS 10/7/15)] |
10/04/2015
| Implemented |