Proposed Plan of Correction: Unacceptable Response
The facility proposes the following PoC.
Directions:
- Ask yourself why the facility’s response is unacceptable.
- Hover over Unacceptable Response Explanation for information on why the response is unacceptable.
| Required PoC Criterion | Facility's Response |
|---|---|
| Criterion 1: How the corrective action will be accomplished for those identified individuals found to have been affected by the deficient practice. | A facility representative will assess Individual #1 at the Individualized Skills and Socialization (ISS) program, and his interdisciplinary team (IDT) will meet to review and discuss the findings of the assessment. |
| Criterion 2: How the facility will identify other individuals having the potential to be affected by the deficient practice and how the facility will act to protect individuals in similar situations. | All other individuals receive adequate services at the ISS program. |
| Criterion 3: What measures will be put into place or system changes made to ensure that the deficient practice will not recur. | At Individual #1's annual planning conference, the ISS program, staff observations, and review of client performance will be discussed. |
| Criterion 4: How the corrective actions will be monitored to ensure the deficient practice is being corrected and will not recur and who will be responsible for monitoring. | The administrator will ensure proper monitoring. |
| Criterion 5: When corrective action will be completed. Must be at least one day past the date of exit. | The action was corrected on the day of exit. |