This page uses extracted PDF text. Text can misread numbers, dates or table columns. Check the PDF before quoting or interpreting it. Redacted areas remain redacted.
Facility records and interviews indicate that no contractors or volunteers were
subject to disciplinary action for violations of sexual abuse or sexual harassment
policies during the audit period.
Compliance Determination:
Based on the evidence reviewed, the auditor determined that the facility meets the
requirements of this standard and no corrective action is required.
115.378 Interventions and disciplinary sanctions for residents
Auditor Overall Determination: Meets Standard
Auditor Discussion
The following evidence was reviewed to determine compliance with Standard
115.378:
Documents Reviewed:
· NNJDC Pre-Audit Questionnaire
· NNJDC Policy 115.378, PREA Interventions and Disciplinary Sanctions
for Residents
· Investigative records
Interviews Conducted:
· PREA Coordinator
· Director
· Medical and Mental Health Staff
NNJDC Policy 115.378(A) provides that residents may be subject to disciplinary
sanctions only following a formal disciplinary process based on an administrative
finding that the resident engaged in resident-on-resident sexual abuse or a criminal
finding of guilt for such conduct. The PREA Coordinator and records review
confirmed that in the past 12 months, there were two administrative findings of
resident-on-resident sexual abuse that have occurred at the facility, one was passed
on to NNPD and resulted in a criminal finding of guilt for resident-on-resident sexual
Jump to an indexed page (153 of 153)