Observations
Based on the review of the Client's Bill of Rights, the facility failed to demonstrate that the clients were informed of their rights in 10 of 10 client records.
Findings:
Twelve client records were reviewed on August 10-11, 2009. Ten were required to have documentation demonstrating that the client was informed of their right to appeal a decision limiting access to his record to the project director in client records # 1, 2, 3, 4, 5, 6, 7, 8, 10 and 12. There was no documentation in the client records that demonstrated the client was informed of their right to appeal a decision limiting access to his record to the project director.
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Plan of Correction
Director revised current policy and procedures to ensure that a statement in regards to the client's right to appeal a decision limiting access to his/her record on August 12, 2009.
Director, on August 12, 2009 updated the client handbook and the client right's information sheet completed at intake.
These updated forms and policy were reviewed with all staff members on August 17, 2009.
Updated information/ forms were used beginning August 17, 2009
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