| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | There was black stains consistent with dirt on the bathtub in the bathroom located on the second floor. | Clean and sanitary conditions shall be maintained in the home. | The bathtub was cleaned. All homes were inspected for cleanliness issues. Cleaning was discussed with Program Coordinators and in addition to frequent inspections, Program Coordinators have been instructed to review the cleaning supplies used in their homes to insure that the cleaning products are appropriate to the cleaning task and issues (ie: mold vs soap scum) |
09/29/2017
| Implemented |
| 6400.76(a) | The footboard on Individual #1's bed was not fastened to the bed. The footbaord was leaning against the bed. | Furniture and equipment shall be nonhazardous, clean and sturdy. | The footboard was reattached to the bed. The footboard was detached by the individual when rearranging his room which he does frequently. The frequent moving of the furniture caused to screws attaching the footboard to be stripped. Inspections of other homes for similar safety issues found a headboard which was not firmly attached. That was also corrected. All Program Coordinators were instructed to monitor for this and similar safety issues during their regular site reviews. |
09/29/2017
| Implemented |
| 6400.181(e)(13)(v) | Individual #2's annual assessment dated 10/6/16 did not document progress and growth in the area of socialization. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. | Individual #2's assessment was updated to better reflect progress in the area of socialization. The Assessment form was updated with a "Progress" area in each section (attachment 1). The other two program specialists were already using a form with this feature, so only one program specialist needed to revise his forms. |
10/03/2017
| Implemented |
| 6400.181(e)(13)(vi) | Individual #2's annual assessment dated 10/6/16 did not document progress and growth in the area of recreation | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. | Individual #2's assessment was updated to better reflect progress in the area of recreation. The Assessment form was updated with a "Progress" area in each section. The other two program specialists were already using a form with this feature, so only one program specialist needed to revise his forms. |
10/03/2017
| Implemented |
| 6400.181(e)(13)(ix) | Individual #2's annual assessment dated 10/6/16 did not document progress and growth in the area of community integreation. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration. | Individual #2's assessment was updated to better reflect progress in the area of community integration. The Assessment form was updated with a "Progress" area in each section. The other two program specialists were already using a form with this feature, so only one program specialist needed to revise his forms. |
10/03/2017
| Implemented |