| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.144 | Individual #6's 11/2021 physical states to return in three months for a follow up appointment. This appointment did not occur. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| The individual has seen her PCP throughout the year. |
08/26/2022
| Implemented |
| 6400.181(d) | Individual #6's 10/2021 assessment was not signed and dated by the program specialist. Prior to the end of the inspection, the program specialist signed this document. | The program specialist shall sign and date the assessment. | As note above the Assessment was signed and dated during the inspection. |
08/09/2022
| Implemented |
| 6400.165(g) | Individual #6 takes at least two psychotropic medications, Depakote 500 mg and Seroquel 400 mg, and verification was not provided that these medications were reviewed every three months indicating if this medication should be continued. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The reviews occurred remotely due to the pandemic and the psychiatrists office was uncooperative regarding completing the forms. There had been medication changes documented that would indicate the medications were being reviewed. At the next scheduled appointment, the 90 day review form will be discussed and a timeline for receiving the documentation established. If this can not be resolved, a new psychiatrist will be identified. |
09/16/2022
| Implemented |
| 6400.181(f) | Individual #6's 10/2021 assessment was not sent to the plan team at least 30 days prior to the 11/9/21 ISP meeting | The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. | The assessment was sent to the team, however it was not 30 days in advance of the meeting. |
09/16/2022
| Implemented |