| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(e)(3) | A receipt was not provided for a purchase exceeding $15 for individual 1.
Documentation of a receipt for a $120.48 purchase made on 12/6/22 was not provided. | 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. | A receipt was not provided for a purchase in the amount of $120.48 which was made 12/6/22. The home is responsible for maintaining Individual 1's financial transactions and records. The Residential Director contacted the store the purchase was made as to confirm the transaction and request a receipt. The Assistant Director followed up with the store and confirmed our request for the receipt on 3/17/23. A written request by the Assistant Director to be sent to the Target store on 3/21/23 requesting retrieval of the receipt to be expedited. |
03/21/2023
| Implemented |
| 6400.72(b) | The four windows located in kitchen and dining area as well as the one in the living area did not have screens. | Screens, windows and doors shall be in good repair. | Screens, windows, and doors shall be in good repair; four windows did not have screens in the following areas of the house--kitchen, dining, and living rooms. A maintenance request for generated and sent for installation of screens on 3/14/23 by Director to Maintenance Department. Installation to occur by 3/27/23. |
03/14/2023
| Implemented |
| 6400.144 | Prescribed as needed medication for individual 1, Promethazine, to be taken 1 teaspoon by mouth as needed every 8 hours was expired as of 6/9/22. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| Health services, such as medical, ... pharmaceutical..., that are planned or prescirbed for Individual 1 shall be arranged for and provided. The Residential Director removed and properly disposed of the expired medication, Promethazine. Nightly checks of medication are performed by overnight staff; weekly checks of medication are performed by the house Supervisors. |
03/24/2023
| Implemented |
| 6400.166(b) | Medication prescribed to individual 1 was not logged immediately after administration. Eloquis to be taken at 7am was not logged on 3/1/23 and 3/2/23, The fields were left blank. Gabapentin 300mg to be taken at 8pm was not logged on 3/1 , time wasn't noted so that could explain the blank | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | Medication shall be recorded at the time of administration. Medication (Eloquis, Gabapentin) were not recorded in the medication record. The Residential Director added the time of dispensing into the blank space for the Gabapentin during inspection on 3/2/23. The house Supervisor communicated with staff scheduled during inspection on 3/2/23 to confirm the administration. Staff scheduled initialed for dispensing of Elouqis & Gabapentin. |
03/23/2023
| Implemented |