709.30 (2) LICENSURE Client rights
§ 709.30. Client rights.
The project shall develop written policies and procedures on client rights and document written acknowledgement by clients that they have been notified of those rights.
(2) The project may not discriminate in the provision of services on the basis of age, race, creed, sex, ethnicity, color, national origin, marital status, sexual orientation, handicap or religion.
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Observations
Based on a review of the client records, the facility failed to document written acknowledgement by the clients that they have been notified of those rights specifically that the project may not discriminate on the basis of age in seven out of seven client records reviewed.
These findings were reviewed with the facility staff during the licensing process.
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Plan of Correction
The Client Orientation Packet provided to every client at the time of their initial evaluation was amended by the Clinical Director on 1/26/2022 to include the approved nondiscriminatory policy wording, "Our Program will not deny service to any client based on age, ethnicity, race, color, sexual orientation, or national origin, marital status, sex, handicap, or religion/creed. The Program will follow all Federal, State, and Local laws concerning Program services." All new clients will electronically sign an Orientation Packet Checklist in Credible indicating that they received a copy of said packet and Non-Discrimination policy. All previous copies of the orientation packet have been removed from the facility. A digital copy was also sent to all staff to offer to current clients who may have received the previous version. |