Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | The closet located in Individual 1's bathroom had a knob that was damaged and difficult to open. | Floors, walls, ceilings and other surfaces shall be in good repair. | The knob on the closet door was replaced (See attachment F) |
08/12/2021
| Implemented |
6400.111(f) | The fire extinguisher located in the attic was not inspected and approved annually by a fire safety expert. Last inspection was completed May 2020 | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | The fire extinguisher was inspected. (see attachment G) |
09/23/2021
| Implemented |
6400.181(a) | An annual Assessment was not completed annually for individual 2, previous assessment was completed 4/4/2019 and current assessment was completed 02/03/2021. The current assessment did not notate the individuals ability to swim and ability to be around large bodies of water. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | The assessment was updated to include information regarding water safety. |
09/17/2021
| Implemented |