Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.181(e)(6) | Individual #1's assessment, completed on 1/15/22, does not address their ability to safely use or avoid poisonous materials in general. | The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. | The Program Specialist created an addendum to Individual #1's assessment on 11/22/2022. The addendum (to be submitted) addressed the individual's ability to safely use or avoid poisonous materials when in the presence of poisonous materials, and will be shared with all ISP team members and direct support staff. |
11/22/2022
| Implemented |
6400.181(e)(14) | Individual #1's assessment, completed on 1/15/22, does not address their knowledge of water safety and 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 Program Specialist created an addendum to Individual #1's assessment on 11/22/2022. The addendum (to be submitted) addressed the individual's knowledge of water safety and ability to swim, and will be shared with all ISP team members and direct support staff. |
11/22/2022
| Implemented |
6400.32(r) | Individual #1's bedroom door was observed without a lock during the physical-site inspection on 11/9/22. Individual #1's record does not include documentation of their declination of a bedroom door lock or their incapacity to decide regarding this matter. Individual #2's bedroom door was observed without a lock during the physical-site inspection on 11/9/22. Individual #2's record does not include documentation of their declination of a bedroom door lock or their incapacity to decide regarding this matter. | An individual has the right to lock the individual's bedroom door. | Individual Rights, Responsibilities, & Review Attestation document (ID-225A - to be submitted) has been updated to reflect the individual's declination of a bedroom door lock or their incapacity to decide regarding this matter. |
12/31/2022
| Implemented |
6400.34(a) | Individual #1 was informed and explained individual rights on 8/8/22. The rights document does not include the following rights: 6400.32r1···the right to have access to the bedroom locking mechanism (i.e.: key, keypad code, etc.); 6400.32r2···the right of limiting access to their bedroom to only life-safety emergencies or with the individual's permission; 6400.32r5···the protection of providing direct service workers with a key or other entry device to lock and unlock the individual's bedroom door. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | Individual Rights, Responsibilities, & Review Attestation document (ID-225A - to be submitted) has been updated to reflect the individual's additional rights (6400.32r1, 32r2, and 32r5). |
12/15/2022
| Implemented |