| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.121(c)(15) | Individual #1's physical did not indicate she was to be on an 1800 calorie diet. Her record indicated this in other areas. | The physical examination shall include: Special instructions for the individual's diet. | The Lifesharing Specialist added the 1800 calorie diet to the physical exam. The individual¿s PCP signed off on the exam recommending the 1800 calorie diet as part of the individual¿s annual physical exam. See Attachment 4). The Lifesharing Specialist is responsible to ensure that the physical examination shall include special instructions for the individual¿s diet. The Lifesharing Specialist will review physical examinations to ensure compliance with the 6500.12 (c) (15).
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07/31/2014
| Implemented |
| 6500.122(a) | Individual #1's dental exam on 4/15/2014 did not indicate a teeth cleaning was completed in a regualtory time frame. | An individual 17 years of age or younger, shall have a dental examination performed by a licensed dentist semiannually. Each individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | The Lifesharing Specialist retrained the home provider on regulation 6500.122 (a) that individual 18 years and older have a dental examination performed by a licensed dentist annually. (See Attachment 5) A dental examination and cleaning were completed on an individual annually. (See attachment 6). The Program Specialist is responsible to ensure the home providers are having dental examinations and cleanings done at least annually on the individuals they support. The Lifesharing Specialist will monitor during monthly visits to ensure compliance. |
07/25/2014
| Implemented |
| 6500.133(c) | Individual #1's physciatric medication reviews for 3/12/2014, 12/6/2013, and 6/20/2013 did not indicate the need to continue the medcations. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The Lifesharing Specialist retrained the home provider on regulation 6500.133 (See Attachment 5). The Lifesharing Specialist gave the updated form to the home provider to take to the psychiatric appointments. (See attachment 7). A psychiatric evaluation was completed on an individual on the updated form that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. (See attachment 8). The Lifesharing Specialist is responsible for ensuring that the need to continue medications is documented. The Lifesharing will monitor during monthly visits to ensure compliance. |
07/08/2014
| Implemented |
| 6500.137(a) | Individual #1's medication log had Tramadol 50mg every 6 hours but on 2/26/14 the medication was given at 6am, 12pm, 5pm, and 10pm. On 1/21/2014 Zofran 4mg was to be given every 8 hours and was given at 2pm and 8pm. On 12/8/2014 Acetamin was to be given every 4 hours but was given at 5:30pm and 9pm. | Prescription medications and insulin injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant. | The Lifesharing Specialist retrained the home provider on regulation 6500.137 (a). See Attachment 5). The medication errors were entered into HCSIS. (See Attachment 9). The Lifesharing Specialist is responsible for ensuring that the home providers are administering medications according to the directions specified by a licensed physician, CNP or PA. The Lifesharing Specialist will monitor medication records during monthly visits to ensure compliance. |
07/28/2014
| Implemented |
| 6500.151(e)(13)(iv) | Individual #1 annual asessment did not show progress and growth in personal adjustment, socialization, recreation, personal properity, and community involvement. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment. | The Lifesharing Specialist completed an assessment on an individual that included the progress of the individual over the last 365 calendar days and current level in the areas of Personal Adjustment. (See Attachment 10). The Lifesharing Specialist is responsible for ensuring that all areas of the assessment document progress and current levels. The Lifesharing Specialist will complete annual assessments to include the progress of the individual over the past 365 days and the current levels in all required areas. |
07/07/2014
| Implemented |
| 6500.153(7)(iii) | Individual #1's ISP did not indicate her ability to advance in vocational programming. | The ISP, including annual updates and revisions under § 6500.156 (relating to ISP review and revision) must include the following: Assessment of the individual's potential to advance in the following: Vocational programming. | The Lifesharing Specialist notified the SC to add to the ISP the assessment of the individual¿s potential to advance in Vocational programming. The ISP was updated. (See Attachment 11). The Lifesharing Specialist is responsible to ensure that an assessment of an individual¿s potential to advance in vocational programming is included in the ISP. The Lifesharing Specialist will review ISPS and any reviews/ updates to ensure compliance. |
07/22/2014
| Implemented |
| 6500.153(7)(iv) | Individual #1's ISP did not indicate her ability to advance in competitive employment. | Assessment of the individual's potential to advance in the following: Competitive community-integrated employment. | The Lifesharing Specialist notified the SC to add to the ISP the assessment of the individual¿s potential to advance in competitive employment. The ISP was updated. (See Attachment 11). The Lifesharing Specialist is responsible to ensure that an assessment of an individual¿s potential to advance in competitive community integrated employment is included in the ISP. The Lifesharing Specialist will review ISPS and any reviews/ updates to ensure compliance. |
07/22/2014
| Implemented |