Tags Posts tagged with "Plan of Correction"

Plan of Correction

The Department of Human Services (DHS) recognizes that the corrective action process is a cornerstone of human services licensing. In 2019, the Department released a webinar, Developing a Plan of Correction, to assist providers with the successful development and implementation of acceptable Plans of Correction. Likewise, the Plan of Correction Quick Reference Guide was issued as a tool to assist our providers with this process.

The Department is seeking your feedback on these resources. Please complete this survey by July 26, 2023, in order to assist DHS in determining what additional steps are needed to ensure that our providers are sufficiently educated and supported in the Plan of Correction process.

If you have further questions, please contact your respective RCPA Policy Director for guidance.

The Department of Human Services (DHS) released an announcement about an upcoming webinar that will focus on developing timely and acceptable Plans of Correction (POC). The webinar has been scheduled for December 12, 2022, from 1:00 pm – 3:00 pm.

The webinar, led by Jeanne Parisi, Director of the Bureau of Human Services Licensing (BHSL), and Joshua Hoover of the Division of Training and Professional Development, will review DHS’ timelines for licensing activities, BHSL licensing procedures, the necessary elements for developing a quality POC, the basics of root-cause analysis, and the resources and assistance that are available. Attendees will also have the opportunity to workshop POC with fellow providers and BHSL staff.

The webinar is approved for Personal Care Home (PCH) and Assisted Living Residence (ALR) annual training hours. Members interested in participating in this webinar should register here. Questions about the webinar or the registration process can be sent electronically.

The Bureau of Human Services Licensing (BHSL) recently issued updated information on the Plan of Correction (POC) process. Beginning on May 1, 2022, the following will be implemented:

  • A new one page Effective Plan of Correction Guide, which the licensing representative will review and leave behind at each Exit Conference;
  • The availability of staff to schedule a phone consultation for technical assistance prior to the submission of the initial Plan of Correction;
  • One reminder phone call and email for any overdue initial or revised Plans of Correction;
  • Return of unacceptable initial submissions of the Plan of Correction in Sanswrite with specific comments on what is required on the resubmission for the Plan to be accepted;
  • One phone call and email to schedule an appointment to walk through the Plan of Correction process for any unacceptable second submission of Plans of Correction; and
  • The opportunity to request an extension of due dates for initial and revised submissions of Plans of Correction.

These actions have been taken so that providers have every opportunity to submit an acceptable POC and, when possible, avoid a directed POC.

Other changes that BHSL is implementing to address quality, consistency, and timeliness include:

  • Initial POC that are missing information or do not adequately address the violation will not be accepted or directed. If the Plan is missing any of the required information, such as when the corrective action will be implanted or who is responsible, OR the plan is inadequate to correct for the violation, the plan will be returned with comments in Sanswrite, even for minor errors.
  • If a POC has not been received past the due date, BHSL will direct the POC no sooner than three business days after one reminder phone call and email have been made. BHSL may accept the provider’s late submission of a POC if a directed POC has not yet been started.

To request technical assistance at any point in the process or an extension of due dates, providers should contact their licensing supervisor (or licensing representative in the Central region) prior to the POC due date. Additional information on submitting an acceptable POC is also available at Personal Care Home Licensing under “Plans of Correction.”

For additional information, please refer to the Effective POC Guide and the Sample Acceptable Plans of Correction for Personal Care Homes (PCHs) and Assisted Living Residences (ALRs).