Summary of Attainment CI FA PA Negligible PA Low PA Moderate PA High PA Critical 0 14 0 2 3 0 0 Standards 0 38 0 2 4 0 0 Criteria UA Negligible UA Low UA Moderate UA High UA Critical Not Applicable Pending Not Audited 0 0 0 0 0 0 0 31 Standards 0 0 0 0 0 0 0 57 Criteria Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) HDS(C)S.2008 Standard 1.1.3: Consumers are PA Low Independence, treated with respect Personal Privacy, and receive services Dignity, And in a manner that has Respect regard for their dignity, privacy, and independence. HDS(C)S.2008 Criterion 1.1.3.2 Consumers receive PA Low Of the six files Include sexuality 90 services that are reviewed (three rest and intimacy responsive to the home, two hospital documentation in needs, values, and and one YPD), none integrated care beliefs of the of the six resident plans cultural, religious, care plans reflect social, and/or ethnic that sexuality and group with which intimacy needs each consumer documented. identifies.
Summary of Attainment CI FA PA Negligible PA Low PA Moderate PA High PA Critical Standards 0 14 0 2 3 0 0 Criteria 0 38 0 2 4 0 0 UA Negligible UA Low UA Moderate UA High UA Critical Not Applicable Pending Not Audited Standards 0 0 0 0 0 0 0 31 Criteria 0 0 0 0 0 0 0 57 Corrective Action Requests (CAR) Report Code Name Description Attainment Finding Corrective Action Timeframe (Days) HDS(C)S.2008 Standard 1.1.3: Independence, Personal Privacy, Dignity, And Respect Consumers are treated with respect and receive services in a manner that has regard for their dignity, privacy, and independence. PA Low HDS(C)S.2008 Criterion 1.1.3.2 Consumers receive services that are responsive to the needs, values, and beliefs of the cultural, religious, social, and/or ethnic group with which each consumer identifies. PA Low Of the six files reviewed (three rest home, two hospital and one YPD), none of the six resident care plans reflect that sexuality and intimacy needs documented. Include sexuality and intimacy documentation in integrated care plans 90