Observations
Based on a review of 7 client records, the facility's client rights policy failed to include documentation of all the required client rights, including that clients have the right to appeal a decision limiting access to their records to the director and clients have the right to request the correction of inaccurate, irrelevant, outdated or incomplete information in their records.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The agency's Civil Rights Policy was updated immediately, at the time of the inspection, to include the previous omission. The update was made by the Program (Project)Director and was shared with the licensing specialist conducting the inspection. |