Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.22(e)(3) | There was no receipt in Individual #1's financial record for a disbursement of $200.00 on 10/06/2016. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. | If the home assumes the responsibility of maintaining an individual's financial resources, the following will be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding 15.00 dollars made on behalf of the individual carried out by or in conjunction with a staff person. Do to a filing issue, receipts where separated from the log and found in the bottom of the filing drawer. All receipts will be required to be turned in an envelope to ensure they do not get separated. Attached is receipts and log. A full financial file review will be completed by the CRD Director by 4/15/2017. The Residential Coordinator will ensure receipts are secure in an envelope when turned in to the financial office for review and filing. |
04/14/2017
| Implemented |
6400.67(a) | The sliding shower door located in the hall bathroom would not slide and remained in a open position. | Floors, walls, ceilings and other surfaces shall be in good repair. | Floors, walls, ceilings and other surfaces will be in good repair. Door repaired on 1/30/2017. Staff will be retrained in the site safety checklist and their responsibility to ensure compliance by April 3, 2017. Supervisors responsible to ensure safety checklist are submitted and correct. CRD Director or ACRD Director will track non compliance and ensure corrected. Completed site safety for February 2017 attached . Attachment #10 |
04/28/2017
| Implemented |
6400.181(e)(2) | Individual # 1's annual assessment dated 11/11/2016 did not document likes, dislikes or interests. | The assessment must include the following information: The likes, dislikes and interest of the individual. | The assessment will include the following information: The likes, dislikes and interest of the individual. Assessment was amended to include the likes, dislikes and interests. The program specialist was retrained in the required documentation for ISP compliance, including time frames for reports. CRD Director to conduct monthly reviews of individual's files. Attachment #9 |
03/21/2017
| Implemented |
6400.181(e)(12) | Individual # 1's annual assessment dated 11/11/2016 did not document recommendations for training, programming or services. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | The assessment will include the following information: Recommendations for specific areas of training, programming and services. The program specialist was retrained in the required documentation for ISP compliance, including the section on training, programming and services. time frames for reports. CRD Director to conduct monthly reviews of individual's files. Attachment #9 |
03/21/2017
| Implemented |
6400.181(e)(14) | Individual # 1's annual assessment dated 11/11/2016 did not document the individual's ability to swim. | The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. | The assessment will include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. The program specialist was retrained in the required documentation for ISP compliance, including the section on water safety and ability to swim. CRD Director to conduct monthly reviews of individual's files. Attachment #9 |
03/21/2017
| Implemented |
6400.181(f) | Individual # 1's annual assessment dated 11/11/2016 was sent to team members on 11/17/2016 and the ISP meeting was held on 12/12/2016. | (f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
| The program specialist will provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP. The program specialist was retrained in the required documentation for ISP compliance, including time frames for reports. CRD Director to conduct monthly reviews of individual's files. Attachment #9 |
03/21/2017
| Implemented |
6400.186(b) | Individual # 1's three month ISP review documentation dated 03/13/2016 was not signed by the program specialist or the individual.
Individual # 1's three month ISP review documentation dated 09/13/2016 was not signed by the individual. | The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. | The program specialist and individual will sign and date the ISP review signature sheet upon review of the ISP. The program specialist was retrained in the required documentation for ISP compliance, including the need for signatures. CRD Director is reviewing all assessments and providing feedback to program specialist. Attachment # 3. |
04/03/2017
| Implemented |
6400.186(d) | There was no documentation Individual # 1's three month ISP review documentation dated 03/13/2016 was sent to team members. | The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. | The program specialist will provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. The program specialist was retrained in the required documentation for ISP compliance, including time frames for reports. CRD Director to conduct monthly reviews of individual's files. Attachment #9 |
04/28/2017
| Implemented |