| 6400.15(a) | The self-assessment was completed on 9-1-15, and the certificate of compliance expired on 8-31-15. | 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.
| Verland CLA will in-service all Program Specialists and all Program Coordinators on making sure a self-assessment of each home serving eight or fewer individuals is completed within 3 to 6 months prior to the expiration date of the Verland CLA `s certificate of compliance. This in-service will be completed by December 31, 2015. Also, Verland CLA will remind all program Specialists and coordinators to begin completing the self-assessment from Mach 1st of each year and to be completed and turned in no later than May 31st of each year. This process will be monitored by the Program Specialist Manager and the Program Director in order to prevent similar deficiencies from reoccurring in the future. |
12/10/2015
| Implemented |
| 6400.71 | The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone in Individual #1's bedroom. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| The telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center were posted right after the surveyor noted it on October 20, 2015 on the telephone in the individual #1¿s bedroom. In addition, Verland CLA will in-service all program Coordinators on making sure that The telephone numbers of the nearest hospital, police department, fire department, ambulance , and poison control center are on or by each telephone in every home with an outside line. This in-service will be completed by December 31, 2015. Furthermore, coordinators will do monthly monitoring to ensure that all emergency number are posted on or by every telephone in every home by using the 6400 monitoring form. This process will be monitored by Program Coordinator Manager in order to prevent similar deficiencies from reoccurrence in the future |
12/10/2015
| Implemented |