| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | There is a hole in the wall in the den which houses electrical wires.
This house is currently receiving a full-scale room by room renovation and the contractors are storing their materials such as nails, screws, hammers, etc. in a vacant bedroom adjacent to individual#1's bedroom. There were also holes in this bedroom wall with long thick wires protruding from the holes. A lock was placed on this bedroom door the day of the inspection to remove this hazard from the individual residing here. | Floors, walls, ceilings and other surfaces shall be free of hazards. | A plate was installed to cover the wiring in the wall [Attachment A] and a lock was installed on the unused bedroom where items are being kept while the home is being remodeled [Attachment B]. Once the work is completed the lock will be removed from the door. |
08/10/2023
| Implemented |
| 6400.141(c)(8) | No mammogram found in record from 2022 to show annual compliance. | The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. | A mammogram was completed on 7/28/2023. [Attachment C]. |
07/28/2023
| Implemented |
| 6400.141(c)(10) | The physical exam did not include if individual#1 was free of communicable diseases, it was left blank. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | Information was reviewed with the PCP on 8/31/2023 and noted on the physical [Attachment M]. |
08/31/2023
| Implemented |
| 6400.141(c)(14) | The physical exam for individual#1 did not include information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | The information was reviewed with the PCP on 8/31/2023 and noted on the physical [Attachment M]. |
08/31/2023
| Implemented |
| 6400.142(g) | The most recent dental hygiene plan found in the record for individual#1 was dated 6/17/21. | A dental hygiene plan shall be rewritten at least annually. | A dental plan was completed on 9/14/2023 and put in her file [Attachment O}. |
09/14/2023
| Implemented |