Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.67 | The steps leading down to the basement were wobbly and swayed side-to-side. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Steps to basement were repaired on March 14, 2017. Physical site will be evaluated regularly. |
03/14/2017
| Implemented |
6500.121(c)(6) | Individual #2 had a TB test on 9/11/2014. He didn't have another TB test until 11/2/2016, which exceeds the requirement. | Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted. | Medical information will be reviewed at each monthly visit by the Program Specialist. Family Living Providers will be retained on requirements for Tuberculin Skin testing. |
04/20/2017
| Implemented |
6500.133(c) | Individual #2 is prescribed Prozac (10mg QD) for Stressors/Anxiety by his PCP. At the time of inspection, 3 month medication reviews were not being completed. | 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. | Individual went to doctors on March 15, 2017 to have meds reviewed. Lifesharing provider was retrained on the regulation pertaining to medication reviews. Program Specialist will review all medical appointments at each monthly visit. |
03/15/2017
| Implemented |