CMS-07-021/023 - Los Angeles County Department of Children and ...

EXHIBIT N
medication authorizations; b) insufficient and/or inadequate clothing and essentials;
c) insufficient or poor food; and/or d) poor facility or environmental issues, such as
sanitation or electrical problems and other situations which are hazardous.
2. Where immediate action is not required, CONTRACTOR shall submit
CONTRACTOR'S proposed CAP to DCFS within 30 calendar days from receipt of
written notification from DCFS (Vendor Notification Letter), the timeframe depending
on the nature of the violation. The CONTRACTOR's CAP is reviewed and approved
by DCFS within 15 business days, after which the CAP will be monitored for
compliance.
3. The CAP must address each finding made in the Vendor Notification Letter. An
appropriate CAP includes: the detailed action necessary to correct the deficiency;
an explanation of how corrections will be implemented; an explanation of what
actions will take place to ensure that the corrective action is maintained; and a
thorough plan addressing prevention of subsequent violations and/or inappropriate
action. Timeframes, as necessary, will be provided, as well as who is responsible
for ensuring the action(s) is/are carried out. An addendum will be required if the
CAP does not adequately address all issues.
4. Once approved, monitoring of the approved CAP begins. Monitoring will usually last
three to six months depending on the nature of the violation. The act of monitoring
may include, where necessary, unannounced visits to the home and/or agency to
verify that the corrective action has been completed.
5. Once the corrective action has been completed and verified, the CONTRACTOR is
notified in writing and the monitoring case is closed. A Hold, Do Not Refer or Do Not
Use Status may be implemented, at the discretion of DCFS, if the requested
corrective action is not completed within the agreed upon time or if the
CONTRACTOR does not submit an approved CAP/CAP addendum within the
agreed-upon timeframes.
C. Hold/DNR/DNU Procedures
1. For Child Safety/Endangerment/Insurance Provisions Holds, DNR, DNU status, a
Vendor Notification Letter is sent, via fax and certified mail, within 72 hours of DCFS'
decision to place CONTRACTOR on Hold, DNR or DNU Status, and verbal
notification will be provided prior to or at the time of CONTRACTOR placement on
Hold/DNR/DNU Status to the extent possible. To the extent possible and
reasonable, and without interfering with any law enforcement investigation, and
consistent with statutes and regulations related to confidentiality, notification will
include the reason(s) for the Hold/DNR/DNU Status. The Vendor Notification Letter
will also invite the CONTRACTOR to participate in a Review Conference and include
a deadline for the CONTRACTOR’s response (desire to participate) within 5
business days. Failure by the CONTRACTOR to respond by the deadline will result
in default or waiver by the CONTRACTOR to proceed with the Review Conference.