Upon completion of DCF audit or TJC/CARF/AHCA site survey, the facility will receive a written report detailing auditor/surveyor’s findings. This report highlights State or Federal Regulations or Accreditation Standards that may be in noncompliance. The facility is required to respond with a Corrective Action Plan within a certain timeframe. There are also varying levels of the deficiencies that may require different time frames of response.

Developing the plan, in the format that is required and in the mandated timeframe, can be a daunting task for a staff that is already busy with client care and running the daily activities of the facility. Completing the plan correctly requires knowledge and experience. Calming Waters Consulting, LLC is proficient at Corrective Action Plans and will work with each department sited to develop a Corrective Action Plan that follows what the facility is specifically doing in order to bring a resolution the sited area of need.

Some of the areas that are addressed by Calming Waters Consulting, LLC are as follows:

Calming Waters Consulting, LLC will work with your leadership team to prepare your post survey Evidence of Standards Compliance (ESC). We keep a focus on achieving a successful outcome in any follow up survey, such as Accreditation with Follow-up Survey (AFS) and Condition Level Follow-up Survey (CON).