Action Plan

MH/DD/ILP Program Standards Site Review

Agency: REACH, Inc. Early intervention/infant learning program services

Site Review Team Recommendation	Actions Planned by Agency	Implementation Date(s)
1. Document follow up with referral sources. (Prior and current reviews)	Staff will be reminded to document that they sent screening/evaluation to the referral service in the contact log. Reports will have cc to all who receive at end.	Immediately
2. Be consistent and complete in the use of case notes, contact logs and home visit summaries; indicate who writes them.	ILP will implement use of a narrative contact log to document all contacts, phone calls, and information. Staff will be directed to sign all notations. Home visit summaries will remain the same.	Revise Contact log by 2/15/01
3. Have parents sign all enrollment forms.	Parents sign IFSP at time of enrollment	Ongoing

Site Review Team Recommendation	Actions Planned by Agency	Implementation Date(s)
4. Consistently indicate on the referral form who took the referral and on what date.	The referral form will be revised to better suit the needs of ILP program.	Revision by 2/15/01
5. Have parents sign and date that they have reviewed their rights with the program; this should be reviewed annually, usually at the time the IFSP is updated. (Prior and current reviews)	The parental rights form will be revised with needed changes and space for parent signature.	Revised by 2/15/01
6. Make sure parents have signed permission to share information with a referral source prior to sharing that information.	Policy will be reviewed with staff re: getting signed permission before sharing information with referral service.	Discussed at 1/3/01 staff meeting
7. The initial evaluations need to include more than one tool and a multidisciplinary team.	Currently we rely on the physician, public health or audiology report as the second discipline. This will be included in narrative report and copy of their report filed with the initial assessment	Will begin immediately – discussed at 1/3/01 staff meeting.
8. Include revisions made on the IFSP’s.	Reviewed the need to write revisions on IFSP form- provide on going training and IFSP review to increase staff compliance.	Immediately- discussed at 1/3/01 staff meeting.
Site Review Team Recommendation	Actions Planned by Agency
9. Update the form to be clear that families can correct or delete information in their records generated by EI/ILP.	Family Rights form will be revised to include all necessary information.	Revision by 4/15/01
10. Include information on the form that families can accept or deny services without jeopardizing other services.	“ “	“ “
11. Include information for a referral to advocacy or other legal services for families that might have a grievance and that complaints will be resolved in a timely manner. (Prior and current reviews)	“ “	“ “
12. Combine the information on the 45-day timeline to make sure it is clear that from the time of referral to the first IFSP meeting is 45 days or less.	“ “	“ “