The Prevention and Quality Improvement unit conducts evaluations of all Corrective Action Plans (CAPs) created in response to substantiated cases of abuse or neglect.  When appropriate, the unit conducts CAP audits to assess implementation.  The unit also conducts systemic reviews which identify risks to the health, safety, and welfare of individuals receiving services.  Areas assessed may include,: infrastructure and governance, service delivery, program management, quality of care and treatment, living conditions, incident management, and personnel related issues such as staffing, supervision and training.  

The Prevention and Quality Improvement Unit’s work includes:

  • Issuing evaluation reports to state oversight agencies on CAPs stemming from substantiated abuse and neglect cases.  The unit evaluates these CAPs for completeness, timeliness, and relevance.
  • Performing post audits regarding the implementation of CAPs by facilities and providers.
  • Making findings and recommendations to provider and state oversight agencies to support our shared mission to improve the care and treatment of individuals receiving services.