Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.151(e)(1) | Individual #1's 11/9/17 assessment did not include her functional strengths and needs. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | Individual 1 Assessment 9/1/17 was amended on 4/18/18 and sent out to all team members clarifying functional strengths, needs and preferences of individual 1. A copy of the updated assessment as well as the signature sheet reviewing the regulation 6500.151 (e) 1 will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(i) | Individual #1's 11/9/17 assessment did not include progress over the past year in health. | The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: Health. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level health on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(ii) | Individual #1's 11/9/17 assessment did not include progress over the past year in motor and communication skills. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Motor and communication skills. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level motor and communication on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(iii) | REPEATED VIOLATION - 1/31/17. Individual #1's 11/9/17 assessment did not include progress over the past year in activities of residential living. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level activities of residential living on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(v) | REPEATED VIOLATION - 1/31/17. Individual #1's 11/9/17 assessment did not include progress over the past year in socialization. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level socialization on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(vi) | Individual #1's 11/9/17 assessment did not include progress over the past year in recreation. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level recreation on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(vii) | REPEATED VIOLATION- 1/31/17. Individual #1's 11/9/17 assessment did not include progress over the past year in financial independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level financial on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(viii) | Individual #1's 11/9/17 assessment did not include progress over the past year in managing 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. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level managing personal property on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.151(e)(13)(ix) | REPEATED VIOLATION - 1/31/17. Individual #1's 11/9/17 assessment did not include progress over the past year in community integration. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community integration. | An amended Assessment was completed updating the individuals progress over the last 365 calendar days and current level community integration on 4/18/18 this was sent out to all team members and reviewed with individual 1. Attachment of the amended assessment will be sent as an attachment. |
04/18/2018
| Implemented |
6500.155(b) | REPEATED VIOLATION - 1/31/17. Individual #1's Individual Support Plan (ISP) indicated she cannot mange money independently. The ISP also indicated she could handle small amounts of money. According to the financial logs, Individual #1 is receiving between $20 and $80. Individual #1 was not assessed to safely handle this much money. | The ISP shall be implemented as written. | An email clarifying spending money sent to Supports Coordinator RL to be added to individual 1 Service Plan this change was discussed with individual 1 and Lifesharing Provider. Attachment of email and signature sheet reviewing regulation 6500.155 (b). will be sent. |
04/18/2018
| Implemented |
6500.156(c)(1) | REPEATED VIOLATION - 1/31/17. Individual #1's 6/13/17, 9/8/17, 12/12/17, and 3/9/18 Individual Support Plan (ISP) reviews did not include progress toward the ISP outcome of dental health. The outcome does not include a measurable piece to track progress. | The ISP review must include the following: A review of the monthly documentation of an individual's participation and progress during the prior 3 months toward ISP outcomes supported by services provided by the family living home licensed under this chapter. | This dental health outcome was completed , documentation of new outcome established ensures that the outcome is trackable to ensure progress is being made. This will be tracked on ISP reviews moving forward. Attached will be sent with the new outcome and tracking. Signature sheet reviewing regulation 6500 156 (c) 1. with Lifesharing Specialist CH will be sent as an attachment. |
04/18/2018
| Implemented |
6500.156(e) | REPEATED VIOLATION - 1/31/17. The option to decline the Individual Support Plan (ISP) review documentation was not provided to Individual #1's day program. | The family living specialist shall notify the plan team members of the option to decline the ISP review documentation. | An option to decline was sent to day program, Program Specialist NC. A copy of the updated option to decline letter as well as a signature sheet reviewing regulation 6500.156 (e) by Life sharing Specialist CH will be sent as an attachment. |
04/18/2018
| Implemented |
6500.182(c)(3) | Individual #1's record did not include physical exams. | Each individual's record must include the following information: Physical examinations. | Individual 1 as well as all client physicals have been placed in the individual's file for review. A copy of the signature reviewed by all Life sharing Specialist and sent as an attachment. |
04/18/2018
| Implemented |