No Corrective Action Plan (C.A.P.) is required for programs with a test count (n) of 10 or fewer in Cluster Score Report analysis.
For January – December 2022 Cluster Scores, the following applies.
Corrective Action Plan (CAP) if applicable
The Program Coordinator shall submit a Corrective Action Plan based on the 12-month Program Cluster Scores Summary Report for the following:
*Any two or more Test Content Clusters scores (including total score) below the following goals:
- Communicating Information: 50%
- Performing Basic Nursing Skills: 70%
- Performing Personal Skills Care: 70%
- Performing Basic Restorative Skills: 70%
- Performing Mental Health & Social Services: 50%
- Providing Resident’s Rights: 50%
- Total (mean score: 70%
*All test cluster scores meet the goals, but the total (mean) score is below 70%, and the first-time pass rate of the certification examination is below 90%, a CAP would be required.
*First-time passing rates on the certification examination of 90% or greater will not require a CAP regardless of the scores.
This Corrective Action Plan must be submitted to the Department within 30 days of receipt of the 12-month report unless prior contact is made with the Department. Additional information is detailed on the Corrective Action Plan template linked here.