Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(a) | Deodoant which indicated to contact poison control if imjested was found on top of individuual # 1's dresser. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Individual #1¿s assessment has been updated to reflect that she can safely use personal hygiene products and store them in her bedroom 10/03/2017 (Attachment #28) The template for the annual assessment has been revised to prompt Program Specialist to clarify person¿s ability to safely use hygiene products and ability to safely use poisonous materials (Attachment #29) |
10/10/2017
| Implemented |
6400.67(a) | The main bathroom has paint chipping from the shower tiles and orange color stains cosistent with water rust stains. | Floors, walls, ceilings and other surfaces shall be in good repair. | The home is a rental property and delay in repairs is due to negotiating with the landlord. The shower tiles will be reglazed. |
12/31/2017
| Implemented |
6400.71 | The nearest telephone numbers of the police and fire department were not included on the emergency telephone liist. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| The template for emergency numbers posted by each phone has been revised to include the name and numbers for the nearest police and fire department for non emergencies (Attachment #13). 911 will still be posted for all emergency calls. |
11/20/2017
| Implemented |
6400.76(a) | The dresser located in individual's # 2's bedroom has scratches and chipped wood approximatly a foot in length on its top portion. | Furniture and equipment shall be nonhazardous, clean and sturdy. | A new dresser has been purchased and delivered to the home (Attachment #27) Any furniture considered hazardous should be noted on monthly residential safety checklists (Attachment #4) and monthly compliance checklists (Attachment #5) so furniture can be repaired or replaced in a timely manner. |
10/28/2017
| Implemented |
6400.112(a) | There was no documentation of a fire drill for November 2016. | An unannounced fire drill shall be held at least once a month. | The assistant trainer is responsible for tracking firedrills each month to ensure that all homes complete an unannounced drill as required. The assistant trainer will alert the Regional Director by the 20th of each month of any drills still not completed. The assistant trainer will notify the Associate Directors and Program Coordinators of drills needed to ensure drills are completed by the end of the month. The assistant trainer will send follow up emails on the 25th and last day of each month until all outstanding firedrills are turned in. All management staff were trained in fire safety and Delta¿s procedures on 10/13/2017 (Attachment #2) |
10/13/2017
| Implemented |