| 6400.66 | The outside of the man door from the garage does not have a light. There is no other source of lighting in that area. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| A light was installed above the man door on 10/06/17.
A Photo was emailed to [Human Services Licensing Supervisor}on the newly installed light on 10/6/17.
The Residential Program Supervisor will conduct a full site inspection of each of their homes on a quarterly basis. CLA Home Visit Report Form that is used by the Residential Supervisors (RPSs) of each home includes "Checked house for damages/licensing non-compliance." The form will be updated to include utilizing the Pa site inspection tool (6400) on a quarterly basis. (This will be reviewed with the RPSs on 10/18/17 by the Assistant Program Directors (APDs). |
10/06/2017
| Implemented |
| 6400.163(c) | The psychiatric medication review for Individual #1 completed 3/14/17 did not include the need to continue the medications. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | When the Health Services Department receives the completed medication review form, the LPN, will review the form for accurate and complete information. The LPN will then initial the form and forward it to the Health Services Coord. who will review the form for accurate and complete information also and initial form to show it has been reviewed. If any information at this time is missing, the form will be returned to the Dr by the Health Services Coordinator to obtain any missing information. This correction was reviewed with the Health Services Coordinator and LPN by the Program Director on 9/22/17. |
10/18/2017
| Implemented |