Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.142(g) | Individual #1's Dental Hygiene plan has not been updated annually (1/3/18) was the last updated plan. | A dental hygiene plan shall be rewritten at least annually. | This area of non-compliance was corrected on 4/1/19 by Managing Program Specialist updating the dental plan for individual #1. See attachment #2
To assure future compliance with this regulation, the Managing Program Specialist will be responsible for complete a Dental Hygiene Plan annually and as needed following each dental visit, according to the dentists¿ recommendations. See attachment #2a |
04/01/2019
| Implemented |
6400.181(a) | Individual #1's Annual assessment wasn't completed annually. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | This area of non-compliance was corrected on 4/19/19 by KenCCID creating a tracking tool to ensure documents are completed timely, according to regulations. See attachment 2b
To assure future compliance with this regulation, KenCCID developed a 6400 regulations tracking sheet, which will assist with completing documentation in a timely manner. See attachment 2b |
04/19/2019
| Implemented |
6400.186(b) | Individual #1's three month ISP reviews were not signed and dated by the Program Specialist and by the individual. | The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. | This area of non-compliance was corrected on 4/25/19 by the Managing Program Specialist meeting with the individual #1 and reviewing & signing the ISP 3 month quarterly review. See attachment 2c
To assure future compliance with this regulation, upon the completion of the quarterly review the assigned Managing Program Specialist will review and sign the Quarterly with the individual. KenCCID created a tracking sheet to ensure compliance with timeframe requirements. See attachment 2c |
04/25/2019
| Implemented |