| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.110(c) | There was no record that Staff #2 or Staff #3 received fire safety training within 31 calendar days of moving into this location on 08/29/2023. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | 1. Lifesharing Coordinator and Lifesharing Provider received retraining on all aspects of the individuals health/safety skills as well as their fire safety skills. The training occurred on 2/14/2024. Please refer to the training verification form with supporting documentation email.
2. Though the fire safety training was not completed at time of moving into the home, staff #2 and staff #3 received the fire safety training on 1/26/2024. Please refer to the training verification form with supporting documentation email. |
02/16/2024
| Implemented |
| 6500.125(a) | Staff #2 and Staff #3 moved into this location on 08/29/2023. There was no record that a physical was completed for Staff #2 or Staff #3 present in the provider's staff records. | Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home. | 1. Lifesharing Coordinator and Lifesharing Provider received retraining on all aspects of the individuals health/safety skills as well as the their fire safety skills. The training occurred on 2/14/2024. Please refer to the training verification form with supporting documentation email.
2. Though the physicals and PPDs were not completed at time of moving into the home, staff #2 and staff #3 received their physicals. Staff #2 received her physical and Mantoux on1/22/24. Staff #3 received their physical and Mantoux on 1/22/2024 as well. Please refer to the training verification form with supporting documentation email. |
02/16/2024
| Implemented |
| 6500.125(c)(2) | Staff #2 and Staff #3 moved into this location on 08/29/2023. There was no record that a Mantoux test was completed for Staff #2 or Staff #3 present in the provider's staff records. | The physical examination shall include: (2) Tuberculin skin testing by Mantoux method with negative results every 2 years for family members 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or licensed practical nurse instead of a licensed physician. | 1. Lifesharing Coordinator and Lifesharing Provider received retraining on all aspects of the individuals health/safety skills as well as their fire safety skills. The training occurred on 2/14/2024. Please refer to the training verification form with supporting documentation email.
2. Though the physicals and PPDs were not completed at time of moving into the home, staff #2 and staff #3 received their physicals. Staff #2 received her physical on1/22/24 and Mantoux. Staff #3 received their physical and Mantoux on 1/22/2024 as well. Results of Mantoux were negative. Please refer to the training verification form with supporting documentation email. |
02/16/2024
| Implemented |
| 6500.45(a) | Staff #1 completed training in First Aid and Heimlich techniques on 04/08/2021 with an expiration date of 04/08/2023. This staff did not receive additional training on these topics until 06/08/2023, exceeding both the annual training requirement specified under this chapter and the alterative expiration date of the training per the recognized healthcare organization. As such, Staff #1 did not receive training on these topics at the required frequency. | The primary caregiver shall be trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid and Heimlich techniques prior to an individual living in the home and annually thereafter. | 1. Lifesharing Coordinator and Lifesharing Provider received retraining on all aspects of the individuals health/safety skills as well as their fire safety skills. The training occurred on 2/14/2024. Please refer to the training verification form with supporting documentation email.
2. Though the 1st Aid and CPR training was not completed within the required timeframe, the provider received recertification on 6/8/2023. Please refer to the training verification form with supporting documentation email. |
02/16/2024
| Implemented |
| 6500.45(b) | Staff #1 completed training in Cardiopulmonary Resuscitation techniques on 04/08/2021 with an expiration date of 04/08/2023. This staff did not receive additional training on this topic until 06/08/2023, exceeding both the annual training requirement specified under this chapter and the alterative expiration date of the training per the recognized health care organization. As such, Staff #1 did not receive training on this topic at the required frequency. | The primary caregiver shall be trained and certified by an individual certified as a trainer by a hospital or other recognized health care organization, in cardiopulmonary resuscitation, if indicated by the medical needs of the individual, prior to the individual living in the home and annually thereafter. | 1. Lifesharing Coordinator and Lifesharing Provider received retraining on all aspects of the individuals health/safety skills as well as their fire safety skills. The training occurred on 2/14/2024. Please refer to the training verification form with supporting documentation email.
2. Though the 1st Aid and CPR training was not completed within the required timeframe, the provider received recertification on 6/8/2023. Please refer to the training verification form with supporting documentation email. |
02/16/2024
| Implemented |