| 6400.113(a) | Individual #1, date of admission 2/23/19, received initial fire safety training on 02/27/19. | An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, 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 home. | Individual watched the fire safety video and has been trained. All admissions and subsequent admission requirements will be reviewed throughout the process by the VP of ID Services. [Immediately, the CEO or designee shall develop and implement a tracking and training system to ensure all individuals are instructed in the individual's primary language and mode of communication to include all required information and specific to each individual's home to include general fire safety, 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 home. Documentation of the instructions shall be kept. (DPOC by AES,HSLS on 5/3/19)] |
04/18/2019
| Implemented |
| 6400.181(e)(11) | Individual #1's assessment did not include the individual's psychological evaluation. | The assessment must include the following information: Psychological evaluations, if applicable. | This has been corrected by providing the psychological exam during the licensing inspection. The record has been filed with the Assessment as required. All admissions and subsequent admission requirements will be reviewed throughout the process by the VP of ID Services. [Within 30 days of receipt of the plan of correction, the CEO or designee shall educate the program specialist as to the requirements of individuals' assessments as per 6400.181(e)(1)-(14). Documentation of the training shall be kept. Within 60 days of the training and continuing at least semiannually, the program specialist shall audit all individuals' current assessments to ensure all required information is included, missing information shall be immediately included. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 5/3/19)] |
04/18/2019
| Implemented |