Joint Commission CAMBHC
Survey Readiness Dashboard
Real-time compliance posture across all JC standard chapters · Valor Behavioral Health
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Overall
Open CAPAs
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Across all pillars
Overdue Items
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Past due date
Credentials Expiring
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Within 90 days
Training Compliance
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Staff certified
JC CAMBHC Standard Chapters
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Recent Findings & Open CAPAs
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Corrective Action Management
CAPA Command Center
Unified view of all corrective actions across HR, EOC, and Clinical pillars
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Valor Behavioral Health
📚 Digital Binder Shelf
All 9 JC survey binders — click any binder to open
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Compliance Improvement Cycle
Month-over-month progress across all JC chapters · Audit → Analyze Issues → Implement Policy Changes → Track Improvement
Audited
Findings
CAPAs Active
Resolved
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Audit
Monthly EOC, clinical, HR & QA audits completed
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audits on file
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Analyze
Findings reviewed, root causes identified, CAPAs opened
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findings logged
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Implement
Policy changes, staff training & corrective actions underway
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CAPAs in progress
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Improve
Resolved findings & sustained compliance gains
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resolved this cycle
Survey Binders — All Documents Available for Review
Click any binder to open
1 · EOC / Health & Safety
Environment of Care · Life Safety · Emergency Mgmt · IC
2 · Clinical Compliance
CTS · RC · RI · PI Standards · Chart Audits · Scorecards
3 · HR Compliance
Personnel Files · Credentials · Training · Performance
4 · Onsite Survey Welcome
Org Chart · Licenses · Lease · Program Description · CLIA · MOU
5 · Annual Reports
Emergency Management Plan Evaluations · 2023–2026
6 · Monthly QA Reports
Admissions · Discharges · Census · LOS · Sept 2023–Present
7 · Incident Reports
All incidents logged by year · 2024 · 2025
8 · Grievances
Client Grievance Procedure · Log by year and month
9 · EM / IC / P&P
Emergency Management · Infection Control · Full P&P Manual · HVA
Chapter-by-Chapter Compliance Summary
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