NYS SADC Heightened Scrutiny Submission
- Document also available in Portable Document Format (PDF)
The New York State (NYS) Department of Health (DOH), in order to be in compliance with 42 CFR §441.301(c)(5)(v), is seeking public comment on the Heightened Scrutiny evidence packets which are required as part of the Statewide Transition Plan (STP) for coming into compliance with the Home and Community-Based Services (HCBS) Settings Final Rule for all Social Adult Day Care (SADC) sites.
For the full announcement and details on submitting a public comment, please see the following:
- Announcement: NYS SADC Heightened Scrutiny Submission Available for Public Comment Until September 30, 2023 - (Web) - (PDF)
SADC Sites Categorized as Heightened Scrutiny
The following is a list of SADC sites identified and categorized as requiring Heightened Scrutiny, including the prong, a summary of how each site has or will overcome the presumption that it is an institution, and the state’s plan for oversight of remediation to ensure compliance with the settings criteria by the end of the transition period:
| # | SADC Site | Prong | Summary | Submission |
|---|---|---|---|---|
| 1 | Sunshine Adult Social Center | 3 | Noted issues requiring remediation: SADC visitor's policy does not allow members to have visitors of their choosing at any time, members do not have information about how to make a request for additional services or to make changes to their SADC PCSP, and community integration opportunities are not offered to members or documented in the PCSP. Remediation efforts for community integration activities will be concluded by 07/01/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 01_Sunshine Adult Social Center (PDF) |
| 2 | Betweenages Adult Social Center | 1 | The documentation does not demonstrate community integration activities are available, how they are requested and supported, and are not documented in PCSPs. Documentation does not indicate how members are made aware they can make PCSP changes at any time. The menu appeared to offer alternative meal options only to those with food allergies. The visitor policy contained blanket restrictions. Some of the PCSPs reviewed did not include appropriate assessment of health/safety needs and supports that may be necessary. Language in the Individualized Service Plan (ISP) Policy is non-compliant because it indicates the PCSP process is done "in conjunction with" the member. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 02_Betweenages Adult Social Center (PDF) |
| 3 | A Plus Adult Daycare Center | 3 | The SADC PCSP did not include: modifications offered to members, members preference in which staff provides them services, health and safety risks, and support services provided to members. Community integration documentation was also limited to on-site activities and was not documented as a choice in the SADC PCSP. Remediation efforts regarding community integration were concluded by 7/1/2024 and all other remediation efforts will be completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 03_A Plus Adult Daycare Center (PDF) |
| 4 | Tremont Social Garden | 3 | Individualized community integration activities were not documented as a choice in the PCSP, individual community integration goals and supports are not provided and the PCSP indicates assistance is needed without documenting what the support is or who is responsible for providing the assistance. Remediation efforts regarding community integration will be concluded by 7/1/2024. The MLTC plans contracted with the SADC will be providing technical assistance. | 04_Tremont Social Garden (PDF) |
| 5 | Silver Town Adult Day Care Center, Inc. | 3 | The documentation provided did not reflect that community integration activities are regularly offered or supported by the SADC. The SADC did not have grab bars in the downstairs restrooms and the site elevator/lift was out of order at the time of DOH's visit. PCSPs did not include supports for identified health/safety needs to support the member. Documentation indicates the member has the right to "participate" in the PCSP process. The PCSPs reviewed do not indicate how dignity and privacy are maintained when a member requests assistance with personal health matters (i.e., from a specific staff member, by gender preference). Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 05_Silver Town Adult Day Care Center, Inc. (PDF) |
| 6 | Good Fortune Adult Day Care Center, LLC | 3 | Community integration activities are not offered following the COVID 19 pandemic. Members who are deemed safe and competent are required to wait for staff to accompany them out of the SADC site. Additionally, the SADC PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 06_Good Fortune Adult Day Care Center, LLC (PDF) |
| 7 | W Day Care | 3 | Community integration activities are not offered or documented as a choice in the PCSP. Each PCSP identifies possible health/safety needs but do not address possible supports in place, referrals needed, and/or ongoing monitoring to support community integration. Language in the Service Plan Policy is non-compliant because it indicates the PCSP process is done "in conjunction with" the member. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 07_W Day Care (PDF) |
| 8 | New York Memory Center dba Park Slope Geriatric Day Center | 3 | Members do not have independent access to the community, there is no community integration provided and there are no modifications section in the PCSP. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 08_New York Memory Center dba Park Slope Geriatric Day Center (PDF) |
| 9 | Presbyterian Residential Community | 1 | Community integration activities are not offered to members. The PCSP template reviewed does not have a section for indicating any necessary modifications. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 09_Presbyterian Residential Community (PDF) |
| 10 | St. Ann's Adult Day Services @ Durand | 3 | Community integration activities and supports available to members are not adequately supported in documentation and PCSPs. PCSP goals are generic, not person-centered, and some of the PCSPs reviewed did not fully support the use of a restriction or adequately address an identified need with the supports to address them. Documentation does not reflect how information about requesting alternative meal options and/or eating in a private area is conveyed to members to ensure they are made aware of the process, does not reflect that members have a choice of activities and/or how they can select an activity different from a scheduled one, and does not reflect how members with restrictions due to documented health or safety risks would be supported to enjoy the same opportunities as their peers who are able to freely move about the setting. Documentation indicates the member has the right to "participate" in the PCSP process. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 10_St. Ann's Adult Day Services @ Durand (PDF) |
| 11 | Sid Jacobson JCC | 3 | Noted issues requiring remediation: community integration opportunities are not offered to members, the SADC has not changed current policies to include HCBS specific standards, members are not given meal options, members are not allowed to have visitors of their choosing whenever they want. Remediation efforts regarding community integration will be concluded by 7/1/2024 all other remediation efforts to current policies to include HCBS specific standards and update to their visitor policy were concluded by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 11_Sid Jacobson JCC (PDF) |
| 12 | Melody Adult Day Care Center | 3 | Community integration activities are not offered or documented as a choice in the PCSP and PCSP sample reviewed did not show member's Plan of Care was individualized. Not all supports are documented to ensure a member can attend opportunities and activities of their interest and the SADC was unable to clarify how the service setting ensures a member's behavior supports do impede on the rights of others. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. The PCSP sample reviewed did not include documentation that the member was given a choice in who they wanted to assist them in personal needs. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 12_Melody Adult Day Care Center (PDF) |
| 13 | 1st Choice Adult Day Care, Inc. | 3 | Community integration activities are not offered or documented as a choice in the PCSP, not all supports that are offered by the SADC are documented in the PCSP. Members are unable to choose what staff provides and/or renders services to them while at the SADC site. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff "in conjunction" with the participant instead of the member leading the development of their PCSP. More than one meal option is not offered to members and members are not able to have visitors at their choosing, at any time. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 13_1st Choice Adult Day Care, Inc. (PDF) |
| 14 | Golden Elite Adult Day Care, Inc. | 3 | The PCSP sample reviewed showed no documentation of member's goals or chosen activities and the PCSP sample did show that a member's Plan of Care is individualized. The SADC site does not offer individualized activities for community integration for members attend the SADC site and activities and/or events that involve interacting with members in the community outside of the SADC site are not offered. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff "in conjunction with" the participant instead of lead by the participant in the PCSP process. Remediation efforts regarding community integration will be concluded by 7/12024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 14_Golden Elite Adult Day Care, Inc. (PDF) |
| 15 | TKV Hospitality Corp dba My Home Hicksville | 3 | The SADC site was identified as having the following isolating characteristics, via the virtual on-site review, which included a PCSP review, and validation of any member experience surveys conducted by the MLTC plan: Community integration activities were not documented as a choice in the PCSP. PCSP sample reviewed did not show that a member's Plan of Care was individualized. The SADC site does not offer individualized activities in the community that members can participate in independently and at their choosing. The SADC does not offer members activities or events that afford them the opportunity to interact with members of the community while at the service setting. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 15_TKV Hospitality Corp dba My Home Hicksville (PDF) |
| 16 | Lord of Life Adult & Child Services, Inc. | 3 | Community integration, individualized goals, activities, and supports were not documented in the PCSP, and individualized community activities are not present on calendars, sign-ins or in policies. There is no place or indication of how dignity and privacy are maintained when a member has personal health considerations. There is no documentation that the member was given a choice in who would assist them in the PCSP. Remediation efforts regarding community integration will be concluded by 7/1/2024. The MLTC plans contracted with the SADC will be providing technical assistance. | 16_Lord of Life Adult & Child Services, Inc. (PDF) |
| 17 | Woodhaven Lifestyle Senior Center | 3 | Community integration activities are not offered or documented as a choice in the PCSP and supports provided so the member may participate and attend opportunities and activities of their choosing are not documented for all members. The SADC does not provide information directly to members to on how to request additional services or changes. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 17_Woodhaven Lifestyle Senior Center (PDF) |
| 18 | Sunshine Days, Inc. | 3 | Noted issues requiring remediation are: community integration activities are not offered to members or document given to ensure the members can attend the opportunities and activities selected, PCSP does not show individual initiative, autonomy and independence and members rights to privacy and dignity. Remediation efforts were concluded by 3/17/2023 and included adding sections in the PCSP to show individual supports needed by member. Remediation efforts regarding community integration will be concluded by 7/1/2024. The MLTC plans contracted with the SADC will be providing technical assistance. | 18_Sunshine Days, Inc. (PDF) |
| 19 | Grand Adult Daycare | 3 | Community integration activities are not offered or documented as a choice in the PCSP and does not include information on how supports will be provided so the member may participate and attend opportunities and activities of their choosing. Additionally, The SADC PCSP does not indicate the member is able to choose alternative activities if they wish. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 19_Grand Adult Daycare (PDF) |
| 20 | Gentle Personal Care, Inc. | 3 | The SADC PCSP does not include any socialization goals or activities. In addition, the PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. Community integration activities are not offered or documented as a choice in the PCSP. The PCSP does not include information on supports of how the member may participate and attend opportunities and activities of their choosing. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 20_Gentle Personal Care, Inc. (PDF) |
| 21 | Sunnyside Community Services | 3 | Community integration documentation was limited to on-site activities and supporting documentation regarding alternative meal options and private dining spaces is missing. The SADC PCSP shows members at the site do not receive individualized activities that promote individual growth and/or personalized supports. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. | 21_Sunnyside Community Services (PDF) |
| 22 | The Long Island Alzheimer's and Dementia Center | 3 | The SADC site was identified as having the following isolating characteristics, via the virtual on-site review, which included a PCSP review, and validation of any member experience surveys conducted by the MLTC plan: Based on the documentation provided the only "community integration" offered includes group outings and does not specify independent outings, therefore does not meet HCBS compliance. The information provided in the facility's Considerations and General Guidelines document contradicts the visitation protocol and individualized community activities are not present. According to the Participant Rights document, the member only has the right to "participate" in the PCSP process rather than "lead" it. The HCBS Final Rule states the process be "driven" by the member, not by the SADC. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 22_The Long Island Alzheimer's and Dementia Center (PDF) |
| 23 | Wartburg | 1 | The documentation does not reflect the supports available to members, what community activities are available to them, and how members can request support to participate in activities that interest them. The activity calendar does not show that alternative activities are available to members if they do not like a scheduled activity. Information about requesting care plan changes or additional services and when this information is provided to members is unclear. PCSPs use a list of pre- listed goals instead of allowing members to create their own. Policy documentation suggests restraints are acceptable in certain situations. The PCSP template did not have a section for identifying interventions to support a member who has concerns requiring additional supports and/or modifications, as well as when the intervention would be reviewed in the future to determine if it was still necessary. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 23_Wartburg (PDF) |
| 24 | Elmhurst Adult Daycare Center Corp. | 3 | The setting does not adequately document community integration opportunities offered to members or include community integration as a choice in the PCSP. The PCSP does not include information on supports of how the member may participate and attend opportunities and activities of their choosing. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. Additionally, the SADC has no indication of how dignity and privacy are maintained and lacks a section to document member needs as it relates to personal health considerations. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 24_Elmhurst Adult Daycare Center Corp. (PDF) |
| 25 | Seagirt Adult Daycare Center | 3 | The SADC site was identified as having the following isolating characteristics, via the virtual on-site review, which included a PCSP review, and validation of any member experience surveys conducted by the MLTC plan: Community integration activities were not documented as a choice in the PCSP. PCSP sample reviewed did not show that a member's Plan of Care was individualized. Activity calendar posted for members does not offer community integration or individualized activities. Not all supports are documented in the PCSP sample reviewed to ensure a member can attend opportunities and activities of interest. The SADC had conflicting policies regarding visitors. The policy posted at the SADC site did not support members having visitors of their choosing at any time. Visitors were also limited to time spent with a member. The written policy submitted prior to the visit did not have any visitor restrictions. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 25_Seagirt Adult Daycare Center (PDF) |
| 26 | Hong Ning Adult Daycare Services | 3 | Community integration activities were not documented as a choice in the PCSP, and members were restricted to one visitor per policy. According to the SADC's Care Plan Policy the PCSP process is done "in conjunction with the member." The HCBS Final Rule requires that the process is "driven" by the member, not that the PCSP be done only "in conjunction with the member, and the process cannot be led by the SADC. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 26_Hong Ning Adult Daycare Services (PDF) |
| 27 | Active Day Seniors Program | 2 | Noted issues needing remediation: The SADC's PCSP did not document information to indicate that it ensures members' rights of privacy, dignity and respect, there was no evidence of HCBS policies or training, community integration opportunities are not offered to members or documented in PCSP. Remediation efforts regarding community integration will be concluded by 7/1/2024 all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 27_Active Day Seniors Program (PDF) |
| 28 | Genesis Adult Day Care | 3 | Community integration activities were not documented as a choice in the PCSP and there is no information on supports of how the member may participate and attend opportunities and activities of their choosing. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. The SADC PCSP has no indication of how dignity and privacy are maintained when the member has personal health considerations. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 28_Genesis Adult Day Care (PDF) |
| 29 | Golden Fleece Social Adult Day Care | 3 | Community integration activities were not documented as a choice in the PCSP and does not include information on how supports will be provided so the member may participate and attend opportunities and activities of their choosing. All necessary supports were not offered or accommodated to support the freedoms for members of all abilities in the PCSP. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 29_Golden Fleece Social Adult Day Care (PDF) |
| 30 | Dyker Senior Center, Inc. | 3 | The setting does not provide opportunities for individualized community activities based on members' needs and preferences and community integration is not included in the PCSP. The PCSP policy is non- compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. The SADC PCSP does not show community inclusion or supports that would address the member's health and safety needs within the community. Additionally, member pronouns were incorrect in the psychosocial section of the PCSP and there is no indication of how dignity and privacy are maintained when the member has personal health considerations. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were concluded by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 30_Dyker Senior Center, Inc. (PDF) |
| 31 | Finest Adult Day Care Center | 3 | Community integration documentation was limited to on-site activities, and community integration was not documented as a choice in the PCSP. Missing supporting documentation of alternative meal options and private dining spaces. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 31_Finest Adult Day Care Center (PDF) |
| 32 | AJNY Social Daycare | 3 | Noted Issues requiring remediation: Individualized community integration and community goal opportunities are not documented in the PCSP. Remediation efforts will be concluded by 7/1/2024 and include offering independent community integration to members and updating the PCSP to include a community activities section. | 32_AJNY Social Daycare (PDF) |
| 33 | 775 Social Day Center, Inc. | 3 | Community integration activities are not offered or documented as a choice in the PCSP and PCSP sample reviewed did not show member's Plan of Care was individualized. Not all supports are documented to ensure a member can attend opportunities and activities of their interest. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant instead of being led by the participant in the PCP process. Members are required to give advanced notice before visitors can come to the SADC site and private dining space for members was not sufficient due to storage items and cluttered observed during the visit. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 33_775 Social Day Center, Inc. (PDF) |
| 34 | Lebo Care, LLC | 2 | Community integration activities are not offered or documented as a choice in the PCSP. Remediation efforts will be concluded by 7/1/2024.The MLTC plans contracted with the SADC will be providing technical assistance. | 34_Lebo Care, LLC (PDF) |
| 35 | Happyhouse Adult Daycare Center, Inc. | 3 | Community integration documentation was limited to on-site activities only and no supporting documentation was provided regarding volunteer and/or employment opportunities available to members. Remediation efforts regarding community integration will be concluded by 7/1/2024 and the MLTC plans contracted with the SADC will be providing technical assistance. | 35_Happyhouse Adult Daycare Center, Inc. (PDF) |
| 36 | Royal Community Care Center | 3 | The availability of community integration activities and supports were not apparent in the documentation and PCSPs provided. Documentation did not make clear that alternative activities are available to members throughout the day and what the process is for requesting them. Documentation indicates the member has the right to "participate" in the PCSP process and that a PCSP is developed "in conjunction with" the member. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 36_Royal Community Care Center (PDF) |
| 37 | Borough Adult Day Care, Inc. | 3 | Noted issues requiring remediation: Individualized community Integration activities were not listed on the members' PCSP reviewed. PCSP also did not note what supports are given to members and members rights to privacy and dignity are violated. Remediation efforts regarding community integration will be completed by 7/1/2024. The MLTC plans contracted with the SADC will be providing technical assistance. | 37_Borough Adult Day Care, Inc. (PDF) |
| 38 | Tian Nian Adult Daycare Center | 3 | Community integration documentation was limited to on-site activities, and community integration was not documented as a choice in the PCSP. The SADC was missing supporting documentation for alternative meal options and private dining spaces. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 38_Tian Nian Adult Daycare Center (PDF) |
| 39 | Doral Social Adult Day Care | 1 | Community integration activities were not documented as a choice in the PCSP, and the community integration activities were limited. The SADC did not include supporting documentation for independent community integration opportunities. Remediation efforts regarding community integration will be concluded by 7/1/2024 and the MLTC plans contracted with the SADC will be providing technical assistance. | 39_Doral Social Adult Day Care (PDF) |
| 40 | Harmony Social Daycare Center | 3 | Community integration activities are not offered or documented as a choice in the PCSP and the PCSP sample reviewed did not show a member's Plan of Care was individualized. The PCSP policy is non- compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process. The member Bill of Rights document contains the word 'unnecessary' which implies there are circumstances where restrictions are enforced. The PCSP sample reviewed did not include documentation that the member was given a choice in who would "assist as needed" with personal needs. The activity calendar posted at the SADC site did not offer community integration and not all supports are documented to ensure a member can attend opportunities and activities of interest. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 40_Harmony Social Daycare Center (PDF) |
| 41 | Day Day Up Adult Day Care Center, Inc. | 3 | Community integration documentation was limited to on-site activities, and community integration was not documented as a choice in the PCSP. The SADC did not submit supporting documentation for alternative meal options and private dining spaces. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 41_Day Day Up Adult Day Care Center, Inc. (PDF) |
| 42 | Happy Healthy Adult Daycare, Inc. | 3 | Community integration documentation was limited to on-site activities, and community integration was not documented as a choice in the SADC PCSP. Remediation efforts regarding community integration will be concluded by 7/1/2024 and the MLTC plans contracted with the SADC will be providing technical assistance. | 42_Happy Healthy Adult Daycare, Inc. (PDF) |
| 43 | Staten Island Senior Lifestyle Center | 3 | Community integration activities are not offered or documented as a choice in the PCSP, and activity and event calendars are not posted at the site in order for members to determine their daily schedule and utilize opportunities presented. Members have limited choice in individualized activities. The PCSP sample reviewed documented socialization but only at the service setting. The PCSP sample reviewed did not include and not all supports necessary to ensure a member can engage in community involvement are documented. The SADC site does not offer activities or events that allow for interaction with members in the community outside of the site and transportation information is not posted at the site for members to utilize. Members are required to give advanced notice before visitors can come to the SADC site. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 43_Staten Island Senior Lifestyle Center (PDF) |
| 44 | Sitrin Health Care | 1 | The SADC site was identified as having the following isolating characteristics, via the virtual on-site review, which included a PCSP review, and validation of any member experience surveys conducted by the MLTC plan: The SADC verbally confirmed the site provides community activities, volunteer and/or employment opportunities in a competitive setting but the supporting documentation showed on-site activities only. The SADC did not provide a copy of an alternative menu and/or a private dining space and the member experience survey states the SADC currently doesn't allow members to have visitors due to COVID. Also, the Service Plan policy indicates the PCSP process is done "in conjunction with" the member. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 44_Sitrin Health Care (PDF) |
| 45 | Park Ave Adult Day Care Center | 3 | Individualized community integration options are not readily available and within this policy the Community Outings Policy the information only focuses on group outings not individual outings. There are no community postings group or individualized for members to be informed. The Bill of Rights, Person Centered Planning Documents and Care Plan Policy document process is not "driven" by the member, and the process appears to be led by the SADC and cannot be. Remediation efforts regarding community integration will be concluded by 7/1/2024 all other remediations were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 45_Park Ave Adult Day Care Center (PDF) |
| 46 | United Adult Day Care | 3 | Community integration activities were not documented as a choice in the PCSPs including identified issues/needs or planned supports to be independent within the community, menu does not provide information on meal alternative options and modifications were not offered or accommodated to support the freedoms for members of all abilities by reviewing completed member PCSPs. According to the Participants Rights and Responsibilities document, the member only has the right to "participate" in the PCSP process rather than "lead" it. The HCBS Final Rule states the process be "driven" by the member, not by the SADC. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 46_United Adult Day Care (PDF) |
| 47 | Royal Care of Westchester, LLC | 3 | The PCSPs reviewed do not include community integration goals, fully assess health/safety needs, and/or include the supports that may be necessary to address them. There was no HCBS Final Rule policy in place to ensure compliance with the regulation. The PCSPs reviewed do not indicate how dignity and privacy are maintained when a member requests assistance with personal health matters (i.e., from a specific staff member, by gender preference). Documentation indicates the member has the right to "participate" in the PCSP process. Language in the Participants Rights document is non-compliant because it references "unnecessary physical or chemical restraints". Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 47_Royal Care of Westchester, LLC (PDF) |
| 48 | Tree of Life Adult Day Care | 3 | The SADC site was identified as having the following isolating characteristics which require remediation: the SADC does not offer community integration activities and goals included in the PCSP template, PCSP does not indicate any necessary modifications or justifications for members to move about the facility. Remediation will include amendments to PCSPs to add community integration goals and activities, to be concluded by 7/1/2024. All other remediation efforts: add a section to the PCSP that indicates necessary modifications and justifications for members to move about the facility; were completed by 3/17/2023. | 48_Tree of Life Adult Day Care (PDF) |
| 49 | La Familia Adult Day Center, Inc. | 3 | Community integration activities are not offered or documented as a choice in the PCSP and PCSP sample reviewed did not show member's Plan of Care was individualized. Not all supports are documented to ensure a member can attend opportunities and activities of their interest and the SADC site does not offer activities or events for interaction with members in the community. The PCSP policy is non-compliant because it indicates the service plan is developed by the program staff in conjunction with the participant in the PCSP process and the PCSP sample reviewed did not document that the member was given a choice in who would "assist as needed" with personal needs. The SADC does not have a policy and procedure for members to request for additional services or changes to their PCSP and members are not afforded flexibility in their breaks and lunches while at the SADC site. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 49_La Familia Adult Day Center, Inc. (PDF) |
| 50 | Tanglewood Manor, Inc. | 3 | Noted issues requiring remediation: Community integration activities are not offered or documented as a choice in the PCSP, the members' rights to privacy and dignity are not noted on the PCSP's reviewed. Remediation efforts regarding community integration - the SADC will add a section under "goals" that includes community integration activities and support provided will be concluded by 7/1/2024. The MLTC plans contracted with the SADC will be providing technical assistance. SADC will add a section under "goals" that includes the community integration activities and support provided such as transportation. | 50_Tanglewood Manor, Inc. (PDF) |
| 51 | Lucky Adult Daycare, Inc. | 3 | The PCSPs do not have community integration activities or goals listed and supports for health and safety risks are not included nor diagnoses listed to determine what supports may be needed, the information provided in the policy and procedures manual contradicts the visitation protocol. The Member Bill of Rights document is non-compliant because "unnecessary physical or chemical restraint" may never be utilized for any reason. According to the Participant's Rights document, the member only has the right to " participate " in the PCSP process rather than "lead" it. The HCBS Final Rule states the process be "driven" by the member, not by the SADC. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 51_Lucky Adult Daycare, Inc. (PDF) |
| 52 | Knesset SADC | 3 | The PCSPs provided did not include goals related to community integration, have identical goals and interventions listed, with no specification related to preferred activities, outings, and/or expected outcomes. One of the PCSPs reviewed did not adequately list supports for member to participate in the listed activities. The Bill of Rights document contains language that is non-compliant because restraints (i.e., "unnecessary restraints") may never be utilized for any reason. Language in the Service Plan Policy document is non-compliant because it indicates the PCSP process is done "in conjunction with" the member. The HCBS Final Rule requires that the process is "driven" by the member, not that the PCSP be done only "in conjunction with" the member, and the process cannot be led by the SADC. Remediation efforts regarding community integration will be concluded by 7/1/2024 and all other remediation efforts were completed by 3/17/2023. The MLTC plans contracted with the SADC will be providing technical assistance. | 52_Knesset SADC (PDF) |
Follow Us