| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.84-1 | Firearms shall be kept unloaded in a locked cabinet. Ammunition shall be kept in a locked cabinet that is separate from firearms.
The Family Living Provider (FLP) had a .38 pistol (hand gun) that was stored in the headboard of the bed that was unlocked. During inspection the .38 pistol (hand gun) that was unlocked at the time of the inspection contained ammo in the magazine of the gun. | Firearms shall be kept unloaded in a locked cabinet. | - Staff #1 was called immediately upon Lifesharing Specialist(KW) being made aware of the violation and told that the gun need to be unloaded and lock up and the magazine needed to be lock up separately.
5/16/19- Program Specialist (KW) and residential Director (NC) visited the home and retrained Staff #1 on Regulation 6500.84. (Firearms). Signature sheet Attachment #1.
Program Specialist (KW) and residential Director (NC) visually inspected the guns location in the lock box and verified that gun and ammunition were now locked separately. Pictures #2, #3, and #4 attached.
Lifesharing Specialist(KW) will visit the home monthly and visually verify Firearm regulation 6500.84 is being followed.
Residential Director (NC) has developed a home inspection checklist which will be utilized by Lifesharing Specialist (KW) during each monthly home visit to ensure Lifesharing homes are safe and compliant with all regulations. Lifesharing Specialist (KW) will be trained on home inspection checklist on 5/23/19 and contents of training along with signature sheet will be attached. The home inspection checklist will be reviewed by the Residential Director (NC) after any home visit.
The Lifesharing Specialists (NC) will immediately address any issues noted on the checklist with the staff 1 prior to leaving. The Lifesharing specialist (NC) will ensure any issues noted on the checklist are corrected in a timely manner. Proof of the correction will be submitted to Residential Director (NC) upon completion. Residential Director or Designee will complete 6 site (sampling) visits per quarter. Lifesharing Specialist will complete 1 unannounced site visit between the hours of 8p to 11pm every 6 months to ensure the gun is not loaded at night then unloaded in the am. |
06/12/2019
| Implemented |
| 6500.131(a) | On 5/15/19, during the onsite inspection, a clear medication cup containing 4 pills was sitting on a wooden stand outside the Family Living Provider's (FLP) bedroom. Individual #1 does not self-administer medication. | Prescription and nonprescription medications of individuals shall be kept in their original containers, except for medications of individuals who self-administer medications and keep their medications in personal daily or weekly dispensing containers. | Program Specialist (KW) visited the home and retrained staff 1 on Regulation: 6500.131 Storage of medications. Signature sheet attached (attachment #1).
Lifesharing Specialist will visit the home monthly and verify that Storage of medication Regulation: 6500.131 is being followed.
Staff 1 will complete Giving Medication At Home training on MyODP and submit proof of completion to Lifesharing Specialist (KW) by 5-21-19 (attachment #2).
Residential Director NC has developed a home inspection checklist which will be utilized by Lifesharing Specialist during each monthly home visit to ensure Lifesharing homes are safe and compliant with all regulations. Lifesharing Specialist (KW) will be trained on home inspection checklist on 5/23/19 and contents of training along with signature sheet will be attached. The home inspection checklist will be reviewed by the Residential Director (NC) after any home visit.
The Lifesharing Specialists will immediately address any issues noted on the checklist with the staff 1 prior to leaving. The Lifesharing Specialist ( NC) will ensure any issues noted on the checklist are corrected in a timely manner. Proof of the correction will be submitted to Residential Director (NC) upon completion. Residential Director or Designee will complete 6 site (sampling) visits per quarter. |
06/12/2019
| Implemented |
| 6500.131(b) | On 5/15/19, during the onsite inspection, a clear medication cup containing 4 pills was sitting on a wooden stand outside the Family Living Provider's (FLP) bedroom. Individual #1 per the assessment and ISP does not self-administer medication. | Prescription and potentially toxic nonprescription medications shall be kept in an area or container that is locked or made inaccessible to the individuals, unless it is documented in each individual's assessment that each individual in the home can safely use or avoid toxic materials. | Program Specialist (KW) visited the home and retrained staff 1 on Regulation: 6500.131 Storage of medications. Signature sheet attached (attachment #1).
Lifesharing Specialist will visit the home monthly and verify that Storage of medication Regulation: 6500.131 is being followed.
Staff 1 will complete Giving Medication At Home training on MyODP and submit proof of completion to Lifesharing Specialist (KW) by 5-21-19 (attachment #2).
Residential Director NC has developed a home inspection checklist which will be utilized by Lifesharing Specialist during each monthly home visit to ensure Lifesharing homes are safe and compliant with all regulations. Lifesharing Specialist (KW) will be trained on home inspection checklist on 5/23/19 and contents of training along with signature sheet will be attached. The home inspection checklist will be reviewed by the Residential Director (NC) after any home visit.
The Lifesharing Specialists will immediately address any issues noted on the checklist with the staff 1 prior to leaving. The Lifesharing Specialist ( NC) will ensure any issues noted on the checklist are corrected in a timely manner. Proof of the correction will be submitted to Residential Director (NC) upon completion. Residential Director or Designee will complete 6 site (sampling) visits per quarter. |
06/12/2019
| Implemented |