Standard 115.377 Corrective action for contractors and volunteers Standard (substantially exceeds requirement of standard) Exceeds Standard (substantial compliance; complies in all material ways with the standard for the relevant review period) Not Meet Standard (requires corrective action) Does Auditor discussion, including the evidence relied upon in making the compliance or determination, the auditor’s analysis and reasoning, and the auditor’s conclusions. This discussion must also include corrective action recommendations where the facility does not meet standard. These recommendations must be included in the Final Report, accompanied by information on specific corrective actions taken by the facility. DYS Policy and Procedure 01.10.01(a), page 1 addresses the requirements of this standard. There were no reported instances of sexual abuse, assault or harassment by facility contractors or volunteers occurring during this audit period, and therefore there was no documentation to review for compliance. Standard 115.378 Disciplinary sanctions for residents Standard (substantially exceeds requirement of standard) Exceeds Standard (substantial compliance; complies in all material ways with the standard for the Meets relevant review period) Not Meet Standard (requires corrective action) Does Auditor discussion, including the evidence relied upon in making the compliance or determination, the auditor’s analysis and reasoning, and the auditor’s conclusions. This discussion must also include corrective action recommendations where the facility does not meet standard. These recommendations must be included in the Final Report, accompanied by information on specific corrective actions taken by the facility. were no reported incidents of youth on youth sexual abuse, assault or harassment. The facility has a youth handbook that outlines the behavioral treatment program response for such violations. Based upon the therapeutic nature of these programs the general tenor of responses are therapeutic in nature. In other words, behavioral change is the goal versus punitive actions. Based upon the fact that the facility’s primary goal related to disciplinary sanctions in response to rule violations is treatment oriented this auditor finds this standard to be in compliance.
Standard 115.377 Corrective action for contractors and volunteers Exceeds Standard (substantially exceeds requirement of standard) Standard (substantial compliance; complies in all material ways with the standard for the relevant review period) Does Not Meet Standard (requires corrective action) Auditor discussion, including the evidence relied upon in making the compliance or determination, the auditor’s analysis and reasoning, and the auditor’s conclusions. This discussion must also include corrective action recommendations where the facility does not meet standard. These recommendations must be included in the Final Report, accompanied by information on specific corrective actions taken by the facility. DYS Policy and Procedure 01.10.01(a), page 1 addresses the requirements of this standard. There were no reported instances of sexual abuse, assault or harassment by facility contractors or volunteers occurring during this audit period, and therefore there was no documentation to review for compliance. Standard 115.378 Disciplinary sanctions for residents Exceeds Standard (substantially exceeds requirement of standard) Meets Standard (substantial compliance; complies in all material ways with the standard for the relevant review period) Does Not Meet Standard (requires corrective action) Auditor discussion, including the evidence relied upon in making the compliance or determination, the auditor’s analysis and reasoning, and the auditor’s conclusions. This discussion must also include corrective action recommendations where the facility does not meet standard. These recommendations must be included in the Final Report, accompanied by information on specific corrective actions taken by the facility. were no reported incidents of youth on youth sexual abuse, assault or harassment. The facility has a youth handbook that outlines the behavioral treatment program response for such violations. Based upon the therapeutic nature of these programs the general tenor of responses are therapeutic in nature. In other words, behavioral change is the goal versus punitive actions. Based upon the fact that the facility’s primary goal related to disciplinary sanctions in response to rule violations is treatment oriented this auditor finds this standard to be in compliance.
2016-prea-audit-grafton-campus.docx