Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2390.151(e)(13)(i) | The assessment for Individual #4 did not contain progress and growth 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. | The Manager of Vocational Services has retrained the Program Specialists regarding the need for information in this section, including (example) routine medical assessments or appointments, general health stable, etc. The Program Specialist has attached an addendum with the required information and all Program Specialists have reviewed files for compliance. See Attachment 7. |
08/07/2015
| Implemented |
2390.151(e)(13(ii) | The assessment for Individual #4 and #5 did not contain progress and growth in motor and communication skills. | 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. | The Manager of Vocational Services has retrained the Program Specialists regarding the need for information in this section, including (example) expressive language and receptive language skills, manual dexterity, etc. The Program Specialist has attached addenda for both individuals with the required information and all Program Specialists have reviewed all files for compliance. See Attachments 7 & 8. |
08/07/2015
| Implemented |
2390.151(e)(13)(iii) | The assessment for Individual #4 did not contain progress and growth in personal adjustment. | 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. | The Manager of Vocational Services has retrained the Program Specialists regarding the need for information in this section, including (example)the ability to interact with others in the work site or with supervisors, etc. The Program Specialist has attached an addendum with the required information and all Program Specialists have reviewed all files for compliance. See attachment 7 |
08/07/2015
| Implemented |
2390.151(e)(13(iv) | The assessment for Individual #4 did not contain progress and growth in socialization. | 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 Manager of Vocational Services has retrained the Program Specialists regarding the need for information in this section, including (example) ability to socialize appropriately in a work setting, general social skills etc. The Program Specialist has attached an addendum with the required information and all Program Specialists have reviewed all files for compliance. See Attachment 7. |
08/07/2015
| Implemented |
2390.151(e)(13)(v) | The assessment for Individual #4 and #5 did not contain progress and growth in vocational skills. | 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. | The Manager of Vocational Services has retrained the Program Specialists regarding the need for information in this section, including (example) ability to work independently, work tolerance, etc. The Program Specialist has attached addenda to the assessments for both individuals with the required information. Program Specialists have reviewed all files for compliance. |
08/07/2015
| Implemented |
2390.153(5) | There was no protocol to address the social, emotional, and environmental needs for Individual #5. | 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. | The Program Specialist has made two requests to the supports coordinator asking that the SEEN plan be included in the ISP. See attachment 2390.153(5). The MH/ID Compliance Monitor and the Manager of Vocational Services have retrained the program specialists on the requirement that the SEEN plan must be included in the ISP itself. The Program Specialists are reviewing all files to determine if SEEN plans are missing from other ISP(s) in order to make the necessary requests to the Supports Coordinators. This will continue to be an area of focus in the ongoing file review done by the Program Specialists and the Manager of Vocational Services. |
09/30/2015
| Implemented |
2390.153(7)(ii) | The Individual Support Plan (ISP) for Individual #5 did not contain an assessment of the client's potential to advance in community-integrated 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. | The Program Specialist has contacted the Supports Coordinator regarding the need for an assessment of the individual's potential to advance in community-integrated employment and also sent a written assessment for inclusion. The Manager of Vocational Services trained the Program Specialists regarding the need for the assessment as part of the ISP as well as the need to review the ISP when received to make sure all requirements are met. The program Specialists are reviewing all ISP(s); if the section is missing from others, the Program Specialists will provide the necessary information to the Supports Coordinator. |
08/28/2015
| Implemented |
2390.156(a) | Individual #4 had an Individual Support Plan (ISP) review completed on 5/14/14 and not again until 9/12/14, outside of the 3 month time frame. | 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. | Individual 4 had a quarterly review on 8/21/14 in the file, which was overlooked. A copy of the review is included in the supporting documentation. |
07/31/2015
| Implemented |
2390.156(b) | Individual #5 did not date the Individual Support Plan (ISP) review completed on 6/2/14. | The program specialist and client shall sign and date the ISP review signature sheet upon review of the ISP. | The MH/ID Compliance Monitor reviewed the file and added the correct date, since case notes provided information as to when the review was presented to the client. The Manager of Vocational Services retrained the Program Specialists regarding the requirement that all signatures be dated. The Program Specialists have reviewed all client files for signatures and dates and made the necessary corrections. The Program Specialists and the Manager of Vocational Services are reviewing files for compliance on an ongoing basis. |
08/04/2015
| Implemented |
2390.156(c)(1) | The Individual Support Plan (ISP) review for Individual # 5 completed on 8/12/14 did not include a review of their monthly participation and progress towards their ISP outcome. | 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 program specialist has added an addendum containing the review of the monthly documentation toward the outcomes. The Manager of Vocational Services has retrained the Program Specialist regarding the requirement that monthly documentation must be reviewed on every quarterly review. Program Specialists have reviewed all client files and included addendums as necessary. See attachment 4 2390.156(c)(1) |
08/10/2015
| Implemented |
2390.157 | The Individual Support Plan (ISP) meeting for Individual #5 was held on 8/12/14. The ISP was not approved and sent to team members until 1/22/15. | A copy of the ISP, ISP annual update and ISP revision, including the signature sheet, shall be provided to plan team members within 30 calendar days after the ISP, ISP annual update and ISP revision meetings. | The Manager of Vocational Services retrained the Program Specialists regarding the need to document requests to the SC for the ISP within the 30 day time frame. Program Specialists are now requesting the ISP on the day of the meeting as suggested. The Manager of Vocational Services is checking files for compliance on an ongoing basis. |
08/04/2015
| Implemented |