SMQT9/25/2026,
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SMQT3:39:44
Study
PMSMQT
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
What are the three components of IJ? 1. Harm
a. Actual - was there an outcome of harm?
b. Potential - Is there the likelihood of potential harm?
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
3. Culpability -
a. did the entity know about the situation? If so, when did they first become aware?
b. Should the entity have known about the situation?
c. Did the entity thoroughly investigate the circumstances?
d. Did the entity implement corrective measures?
e. Has the entity re-evaluate the measures to ensure the situation was corrected?
Failure to protect from abuse triggers? 1. Serious injuries such as head trauma or fractures
2.non-consensual sexual interactions
3.unexplained serious injuries that have not been investigated
4. staff striking or roughly handling an individual
5. staff yelling, swearing, gesturing or calling an individual derogatory names
6. bruises around the breast or genital area or suspicious injuries
SMQTSMQT
Study Study
GuideSMQT
SMQT Guide.pdfSMQT
StudyStudy
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
, SMQT9/25/2026,
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SMQT3:39:44
Study
PMSMQT
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Failure to prevent neglect triggers? 1. lack of timely assessment of individuals after injury
2. lack of supervision for individual with known special needs
3. failure to carry out dr orders
4. repeated occurrences such as falls which place the individual at risk of harm
without intervention
5. access to chemical and physical hazards by individuals who are at risk
6. access to hot water of sufficient temperature to cause tissue injury
7. non functioning call system without compensatory measures
8. unsupervised smoking by an individual with a known safety risk
9. lack of supervision of cognitively impaired individuals with known elopement risk
10. failure to adequately monitor individuals with known severe self-injurious
behavior
11. failure to adequately monitor and intervene for serious medical/surgical
conditions
12. use of chemical./physical restraints without adequate monitoring
13. improper feeding/positioning of individual with known aspiration risk
14. inadequate supervision to prevent physical altercations
Failure to protect from psychological harm triggers? 1. Application of chemical/physical restraints without clinical indication
2. Presence of behaviors by staff such as threatening or demeaning resulting in
displays of fear, unwillingness to communicate and recent or sudden changes in
behavior by individuals
3. Lack of interventions to prevent individuals from creating an environment of fear
SMQTSMQT
Study Study
GuideSMQT
SMQT Guide.pdfSMQT
StudyStudy
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SMQT3:39:44
Study
PMSMQT
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
What are the three components of IJ? 1. Harm
a. Actual - was there an outcome of harm?
b. Potential - Is there the likelihood of potential harm?
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
3. Culpability -
a. did the entity know about the situation? If so, when did they first become aware?
b. Should the entity have known about the situation?
c. Did the entity thoroughly investigate the circumstances?
d. Did the entity implement corrective measures?
e. Has the entity re-evaluate the measures to ensure the situation was corrected?
Failure to protect from abuse triggers? 1. Serious injuries such as head trauma or fractures
2.non-consensual sexual interactions
3.unexplained serious injuries that have not been investigated
4. staff striking or roughly handling an individual
5. staff yelling, swearing, gesturing or calling an individual derogatory names
6. bruises around the breast or genital area or suspicious injuries
SMQTSMQT
Study Study
GuideSMQT
SMQT Guide.pdfSMQT
StudyStudy
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
, SMQT9/25/2026,
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
SMQT3:39:44
Study
PMSMQT
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Failure to prevent neglect triggers? 1. lack of timely assessment of individuals after injury
2. lack of supervision for individual with known special needs
3. failure to carry out dr orders
4. repeated occurrences such as falls which place the individual at risk of harm
without intervention
5. access to chemical and physical hazards by individuals who are at risk
6. access to hot water of sufficient temperature to cause tissue injury
7. non functioning call system without compensatory measures
8. unsupervised smoking by an individual with a known safety risk
9. lack of supervision of cognitively impaired individuals with known elopement risk
10. failure to adequately monitor individuals with known severe self-injurious
behavior
11. failure to adequately monitor and intervene for serious medical/surgical
conditions
12. use of chemical./physical restraints without adequate monitoring
13. improper feeding/positioning of individual with known aspiration risk
14. inadequate supervision to prevent physical altercations
Failure to protect from psychological harm triggers? 1. Application of chemical/physical restraints without clinical indication
2. Presence of behaviors by staff such as threatening or demeaning resulting in
displays of fear, unwillingness to communicate and recent or sudden changes in
behavior by individuals
3. Lack of interventions to prevent individuals from creating an environment of fear
SMQTSMQT
Study Study
GuideSMQT
SMQT Guide.pdfSMQT
StudyStudy
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
Study Guide.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
