| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.43(e) | Staff person #1, whose date of hire was 9/04/18 as a family living specialist, does not meet the qualifications for the position. Staff #1 has a bachelor's degree but does not have the required 2 years of experience working directly with persons with intellectual disabilities. | A family living specialist shall have one of the following groups of qualifications: (1) A master's degree or above from an accredited college or university and 1 year work experience working directly with persons with intellectual disability. (2) A bachelor's degree from an accredited college or university and 2 years work experience working directly with persons with intellectual disability. (3)An associate's degree or 60 credit hours from an accredited college or university and 4 years work experience working directly with persons with intellectual disability. (4) A high school diploma or general education development certificate and 6 years work experience working directly with persons with intellectual disability. | 1. Since the coordinator does not have 2 years of IDD specific work experience the caseload was assigned to 2 qualified persons within the Lifesharing program.
2. The coordinator will assist the qualified coordinator with job duties until the time they have received 2 years of specific work experience. All quarterlies and other required paperwork will be updated, signed and approved by the qualified coordinator.
3. The coordinator will continue to receive training and instruction in regards to IDD so that within 2 years they will be qualified to support a caseload independently.
4. Supporting documentation will be emailed to C. Hadley for review. |
12/10/2018
| Implemented |
| 6500.62(d) | Kingsford charcoal lighter fluid was found stored in a food pantry closet with assorted food items. | Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. | 1. The Kingsford Charcoal lighter fluid that was in the food pantry was removed from the home on 11/7/2018.
2. Provider and Coordinator received retraining on poisonous material hazards in regards to the individual¿s health and safety abilities and risks. The date of the training was 11/15/2018. Training verification will be emailed to C. Hadley for review.
3. The home will be monitored by the LS coordinator for any poison hazards during every monthly monitoring and noted on the Monthly Case Review notes. |
11/15/2018
| Implemented |
| 6500.102 | Rustoleum oil-based enamel paint (label stated "keep away from flame and heat") was found stored next to the oil-burner furnace in the basement. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. | 1. The provider requested of the contractor who was making the renovations to the home remove their flammable and combustible supplies ( Rustoleum oil-based enamel paint). The contractor will ensure that he keeps those supplies in the contractor van for the remainder of the renovations. The polyurethane and flex-shield were removed from the basement on 11/7/2018.
2. Provider and Coordinator received retraining on flammable and combustible supplies and equipment storage safety to ensure there is complete understanding of the individual¿s health and safety needs. The date of the training was 11/15/2018. Training verification will be emailed to C. Hadley for review.
3. The home will be monitored by the LS coordinator for proper storage of flammable and combustible supplies and equipment during every monthly monitoring and noted on the Monthly Case Review notes. |
11/15/2018
| Implemented |
| 6500.151(e)(13)(viii) | The annual assessment dated 8/07/18 for Individual #1 did not document the individual's ability to manage personal property. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas : Managing personal property. | 1. Provider and Coordinator received retraining on Personal Property Management to ensure there is complete understanding of the individual¿s financial needs. The date of the training was 11/15/2018. Training verification will be emailed to C. Hadley for review.
2. The individual¿s annual assessment was amended to reflect the individual¿s abilities to manage their own personal property. The annual assessment was amended on 11/16/2018 by the coordinator and will be updated annually. The amended assessment will be emailed to C. Hadley for review.
3. The Director and Asst. Director will ensure that every individuals annual assessment contains the require information at time of semi-annual audits. |
11/16/2018
| Implemented |