| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2380.111(c)(10) | Individual #2's most recent physical dated 2/24/21 indicates, "none" in the section entitled, "medical information pertinent to diagnosis and treatment in case of an emergency". However, individual #2 has a documented seizure disorder for which individual #2 takes medication and individual #2 also has hearing aids, and an unsteady gait. This information needs to be included on the annual physical. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | The program specialist will have participants PCP sign off on addendum to physical written by Program Specialist that includes the corrected information pertinent to diagnosis and treatment in case of emergency. |
10/29/2021
| Implemented |
| 2380.111(c)(11) | The most recent physical for individual #2 dated 2/24/21 does not indicate any recommendations or special instructions in the section entitled, "Recommended diet and special instructions"; it only indicates, "normal diet". However, Individual #2 has a documented allergy to Lactose and must take medication before eating anything with Lactose in it. Individual #2 also requires food to be cut into small pieces due to the individual being unable to manipulate a knife and sharp objects. Both of these items should have been included under "Special instructions". | The physical examination shall include: Special instructions for an individual's diet. | The Program Specialist will have participants PCP sign off on addendum to physical written by Program Specialist that includes the correct diet. |
10/29/2021
| Implemented |
| 2380.181(e)(1) | Individual #2's most recent assessment dated 8/8/21 indicates in the "functional strengths" paragraph that individual #2 is "independent with eating" however, individual #2 is unable to manipulate sharps or knives and needs a staff person to cut up food into small pieces. Therefore he is not fully independent in his eating skills and this information needs to be further clarified. This information was also not included in the "needs" paragraph of the assessment. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | The Program Specialist will write an addendum to assessment that makes clear that participant can eat independently if his food is cut by staff because he is not able to use a knife. |
10/29/2021
| Implemented |