3rd Component: The Relevant Findings (cont'd)

Example of Relevant Findings

Record review of Individual #2's individual program plan (IPP), dated 7/2/16, revealed that her habilitation center training objective was as follows, "Individual #2 will receive services in the areas of eating, range of motion, social, mobility, and grooming." Further review revealed that the objective did not state the criteria that Individual #2 must accomplish in order to achieve the objective.

Record review of Individual #2's program data folder for 7/16 and 8/16 revealed that there were no data sheets for this program.

Record review of Individual #3's IPP, dated 3/15/16, revealed that her habilitation center training objective was as follows, "Individual #3 will improve her range of motion, self-help skills, skin integrity, and positioning by mastering two of three objectives by March 2016." Further review revealed that the objective did not state the criteria that Individual #3 must accomplish in order to achieve the objective.

The listing of the pertinent facts identified in the deficiency allows the facility to discover what caused the deficient practice.

Interview with the Qualified Intellectual Disability Professional (QIDP) on 8/11/16 at 1:30 p.m. revealed that the day habilitation objectives for Individuals #2 and #3 were designed to maintain the skills that they already have and not teach them new skills or enhance their existing skills.

 

QUICK REVIEW 

Directions: Click the Quick Review Question link below.

 Quick Review Question   

Value: 5

Directions: Read the question below and select the best answer.

When a surveyor finds a situation at a facility in which a regulation is not met, he/she will write a citation. What are the three components of the citation?