STRTP Documentation and Record Keeping 3

Question 1

When an ISP is revised for an STRTP resident, who must be involved in the revision process according to California guidelines?

Accepted Answer

The resident (age-appropriately), the placing agency, and the clinical team

Answer

ISP revisions must be collaborative, involving the resident to the extent possible, the placing agency, and the facility's clinical and care team.

Question 2

Which type of documentation must be completed for every medication error in an STRTP?

Accepted Answer

An incident report filed in the resident's record and reported to the placing agency

Answer

All medication errors must be formally documented in an incident report and communicated to the placing agency regardless of whether harm occurred.

Question 3

An STRTP's health and medical records for a resident should include which of the following at minimum?

Accepted Answer

Immunization records, physical examination results, medication logs, and allergy information

Answer

Complete health records must include immunizations, physical exam findings, allergy information, and all medication administration records.

Question 4

If a DSS licensing analyst requests a resident's records during an inspection, the STRTP administrator must:

Accepted Answer

Provide the requested records in a timely manner as part of the licensing compliance obligation

Answer

DSS licensing analysts have the legal authority to review facility records during inspections, and the STRTP is obligated to provide them in a timely manner.

Question 5

Electronic records in an STRTP must meet which security standard to protect resident confidentiality?

Accepted Answer

Controlled access with unique user logins, audit trails, and encryption of sensitive data

Answer

Electronic health records must have access controls, audit logs to track who accessed records and when, and encryption to protect sensitive resident information.

STRTP - Short Term Residential Therapeutic Program Practice Test

STRTP - Short Term Residential Therapeutic Program Practice Test

STRTP Documentation and Record Keeping 3