8b. The Provider develops and implements a process that ensures that performance data is reviewed and evaluated in selecting priorities for the QMP. R The Provider develops and implements a process to ensure performance data is reviewed and evaluated prior to selecting priorities for the QMP. Mark YES if the process was developed and implemented. Mark NA if no remediation action is required or another remediation action was selected. 8c. Provider Staff is retrained as appropriate on R The Provider provides/ensures retraining of the appropriate Provider staff regarding the QMP requirements. The Provider submits notification/documentation to the AE that the Provider staff was retrained. Mark Yes if the Provider provides notification/documentation to the AE of retraining provided to the Provider staff. Mark NA if no remediation action is required or another remediation action was selected.
20. The staff receive training on the Provider’s Emergency Disaster Response plan that addresses individual’s safety and protection, communications and/or operational procedures. O Review the Emergency Disaster Response plan to ensure that it addresses individual’s safety and protection, communications and operational procedures. Review the training records including a description of the course, sign-in sheets, transcripts, or certificates of completion from the training. Staff who work directly with the individuals in the sample selected should have training on the Provider’s Emergency Disaster Response Plan. Mark YES if the staff training records indicate that a staff were trained on the Emergency Disaster Response plan. Mark NO if there are no training records or if the staff were not trained in the Emergency Disaster Response plan or if the Emergency Disaster Response Documentation was located. R The Provider has located training records which indicate that Provider staff have completed training on the Provider’s Emergency Disaster Response plan. Mark YES if the documentation was located. Mark NA if no remediation action is required or another remediation action was selected.
The Provider develops and implements a process that ensures staff have an understanding on the needs of the individual. R The Provider develops and implements a process to ensure staff have an understanding on the needs of the individual. Mark YES if the process was developed and implemented. Mark NA if no remediation action is required or another remediation action was selected. Provider Staff is retrained as appropriate on addressing the needs of the individual when rendering services. R The Provider provides/ensures retraining of the appropriate Provider staff regarding addressing the needs of the individual when rendering services. The Provider submits notification/documentation to the AE that the Provider staff was retrained. Mark Yes if the Provider provides notification/documentation to the AE of retraining provided to the Provider staff. Mark NA if no remediation action is required or another remediation action was selected. OTHER REMEDIATION ACTION R The AE can accept documentation of “other” remediation actions taken by the Provider to comply with the requirements. The AE will record in the comment field the REMEDIATION ACTION taken by the Provider to remediate. Mark YES if the Provider submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. IF YES, when: R The AE must calculate the number of days between the notification date to the Provider and the remediation action date. The AE must then choose the appropriate time frame from the drop down list. Mark NA if no remediation action was necessary, or if no remediation action was taken by the Provider.
Provider staff is retrained as appropriate on ODP’s Incident Management Bulletin and the Provider’s annual training on incident management. R The Provider provides/ensures retraining of the appropriate Provider staff within 30 calendar days regarding ODP’s Incident Management Bulletin and the The Provider submits notification/documentation to the AE that the Provider staff was retrained. Mark Yes if the Provider provides notification/documentation to the AE of retraining provided to the Provider staff. Mark NA if no remediation action is required or another remediation action was selected. OTHER REMEDIATION ACTION R The AE can accept documentation of “other” remediation actions taken by the Provider to comply with the requirements. The AE will record in the comment field the REMEDIATION ACTION taken by the Provider to remediate. Mark YES if the Provider submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. 40f. IF YES, when: R The AE must calculate the number of days between the notification date to the Provider and the remediation action date. The AE must then choose the appropriate time frame from the drop down list. Mark NA if no remediation action was necessary, or if no remediation action was taken by the Provider.
The Provider develops and implements a process that ensures that incidents are entered in accordance with requirements. R The Provider develops and implements a process that ensures that incidents are entered in accordance with requirements. Mark YES if the process was developed and implemented. Mark NA if no remediation action is required or another remediation action was selected. Provider staff is retrained as appropriate. R The Provider provides/ensures retraining of the appropriate Provider staff within 30 calendar days regarding ODP’s Incident Management Bulletin and the The Provider submits notification/documentation to the AE that the Provider staff was retrained. Mark Yes if the Provider provides notification/documentation to the AE of retraining provided to the Provider staff. Mark NA if no remediation action is required or another remediation action was selected.