| 6400.44(b)(1) | The program specialist did not complete Individual #1's assessment dated 9/2/15. | The program specialist shall be responsible for the following: Coordinating and completing assessments. | On March 22, 2016, Program Specialists were trained on Regulation 6400.44(b)(1) as it relates to their responsibility to complete, review and sign the Annual Assessment. Lifesteps' Community Homes Directors and Senior Directors along with Program Specialists are responsible to check the Department of Human Services "Regulatory Question and Answer" page regularly and review "Q/A - Regulatory Clarifications" as they become available. Directors and Senior Directors will train supervisors and ensure staff are trained on regulatory changes as they occur. Communication regarding this expectation sent to Community Homes management and program specialists on 03/09/2016, including the link to the website. [Immediately, the program specialists will review all individuals current assessments and complete as required. At least quarterly for at least 1 year, the Chief Program Officer or designated management staff will review a 25% sample of individuals' assessments to ensure completion by a program specialist as required. Documentation of trainings and reviews of assessments shall be kept. (AS 4/25/16)] |
04/08/2016
| Implemented |
| 6400.141(c)(14) | The physical examination for Individual #1, completed on 1/8/16, does not include medical information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Supervisors will be trained on Regulation 6400.141(c)(14) by April 30, 2016. Community Homes staff are responsible for reviewing the Medical Examination Form prior to leaving the doctors office to ensure all areas of the physical have been addressed. Lifesteps' Community Homes Directors and Senior Directors along with Program Specialists are responsible to check the Department of Human Services "Regulatory Question and Answer" page regularly and review "Q/A - Regulatory Clarifications" as they become available. Directors and Senior Directors will train supervisors and ensure staff are trained on regulatory changes as they occur. Communication regarding this expectation sent to Community Homes management and program specialists on 03/09/2016, including the link to the website.[Immediately, Individual #1's physical examination will be updated by a physician to include medical information pertinent to diagnosis and treatment in case of an emergency. Immediately, the Community Homes Directors and Senior Directors along with Program Specialists will review all Individuals' current physical examinations to ensure all required information is included and will immediately obtain missing information. For at least 1 year, upon completion of Individuals' initial and annual physical examinations the Community Homes Directors and Senior Directors along with Program Specialists will review individual's physical examinations to ensure physical examination include all required information including medical information pertinent to diagnosis and treatment in case of an emergency. Documentation of reviews and trainings shall be kept. (AS 4/25/16)]
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04/08/2016
| Implemented |