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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2380.111(c)(9) | Individual #1's physical examination, completed 1/31/17, did not include: Allergies or contraindicated medications, this section was blank. | The physical examination shall include: Allergies or contraindicated medication. | Individual #1's physical examination, completed 1/31/17, did not include: Allergies or contraindicated medications, this section was blank.( 55 PA Code Chapter 2380.111(c)(9 ) Individual #1¿s next yearly physical exam is schedule for 2/01/18. We have attached a current medication list that includes her allergies and any contraindicated medications to the physical dated 1/31/17 while awaiting the new physical exam form.
All individuals¿ physicals in the 2380 program will be reviewed by the Program Specialist and Vocational Director no later than 1/19/18. Any areas of noncompliance will be addressed following the new procedures. Both the Vocational Director and Program Specialists will be trained on the new procedure by Cynthia L. Dias by 1/19/18. Greene Arc will implement the following procedures to ensure all physicals are completed in their entirety going forward. All physical forms will be reviewed by the Program Specialist and the Vocational Director within 7 business days of being received. When blanks appear on an individual¿s physical form the physical form will be faxed back to the physician¿s office with a request that all categories must be completed. The original fax with the request for information from the physicians¿ office will be attached to the physical as evidence that Greene Arc did attempt to have the missing information completed by the physician. If there is no response within 10 days a second attempt will be made. This fax sheet will also be attached to the physical. The group home staff/ family will also be contacted and asked to obtain the necessary information. This request will also be documented via email or mailed correspondence and attached to the physical. All supporting correspondence will be kept in the participant¿s file. [Within 30 days of receipt of the plan of correction, the CEO or designee shall educate all staff in the aforementioned process in their responsibilities in ensuring all individuals' physical examination included all required information and there are not any required areas left blank. Documentation of trainings shall be kept. (AS 1/19/18)] |
01/19/2018
| Implemented |
| 2380.111(c)(10) | Individual #1's physical examination, completed 1/31/17, did not include: Medical information pertinent to diagnosis and treatment in case of an emergency, this section was blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Individual #1's physical examination, completed 1/31/17, did not include: Medical information pertinent to diagnosis and treatment in case of an emergency, this section was blank.(55 PA Code Chapter 2380.111(c)(10) Individual #1¿s next yearly physical exam is schedule for 2/01/18. We have requested that the group home obtain from the physician written documentation of medical information pertinent to diagnosis and treatment in case of an emergency and when it is received we will attach it to the physical dated 1/31/17 while we await the completion of a new physical. All individuals¿ physicals in the 2380 program will be reviewed by the Program Specialist and Vocational Director no later than 1/19/18. Any areas of noncompliance will be addressed following the new procedures. Greene Arc will implement the following procedures to ensure all physicals are completed in their entirety going forward. Both the Vocational Director and Program Specialists will be trained on the new procedure by Cynthia L. Dias, Executive Director by 1/19/18. Greene Arc will implement the following procedures to ensure all physicals are completed in their entirety going forward. All physical forms will be reviewed by the Program Specialist and the Vocational Director within 7 business days of being received. When blanks appear on an individual¿s physical form the physical form will be faxed back to the physician¿s office with a request that all categories must be completed. The original fax with the request for information from the physicians¿ office will be attached to the physical as evidence that Greene Arc did attempt to have the missing information completed by the physician. If there is no response within 10 days a second attempt will be made. This fax sheet will also be attached to the physical. The group home staff/ family will also be contacted and asked to obtain the necessary information. This request will also be documented via email or mailed correspondence and attached to the physical. . All supporting correspondence will be kept in the participant¿s file.[Within 30 days of receipt of the plan of correction, the CEO or designee shall educate all staff in the aforementioned process in their responsibilities in ensuring all individuals' physical examination included all required information and there are not any required areas left blank. Documentation of trainings shall be kept. (AS 1/19/18)] |
01/19/2018
| Implemented |
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