Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00105100 Renewal 01/24/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.182(c)(10)Individual #1's annual physical exam dated 4/14/16 lists Tegretol and Lithium as allergies. Individual #1's ISP dated 10/24/16 lists vegetable spray/cleaners, Lithium, Tegretol, and Oxybutynin as allergies. Individual #1's assessment dated 12/7/16 lists vegetable spray/cleaners, Lithium, Tegretol as allergies in the lifetime medical history. Each individual's record must include the following information: Content discrepancy in the ISP, the annual updates or revisions under §  6500.156.6500.182(c)(10) Is there documentation that the Program Specialist notified the SC or Plan Lead of any discrepancies with the current ISP. Explanation: This non-compliance was created because the client ISP listed an allergy that was not listed in the agency record. Correction: 1. The Family Living Specialist, John Fisher, will first validate allergy information for the client record that was cited. Once validated, John Fisher, will send an email to the SC reporting current allergies. John Fisher will also follow our current discrepancy report procedure until the ISP is updated. Anthony Fisher, Program Director, will send all validation materials to BHSL before 2/28/17. 2. The agency will complete a review of all 6500 client records to make sure allergies match what is in the ISP. Any discrepancies found will be corrected as described above. All Family Living Specialists will send an email to Anthony Fisher once the record review is complete. Anthony Fisher will include these emails with the validation documents. 3. Family Living Specialist training on 6500.182(c)(10) will be completed by Anthony Fisher 4. Caregiver training on 6500.182(c)(10) will be completed by the respective Family Living Specialist. Attachments: Family Living Specialist training summary (Attachment #1) Caregiver training summary (Attachment #2) Copy of the client¿s ISP showing current allergies (Attachment #3) Copy of the client¿s medical record (Attachment #4) Copy of the email to the SC reporting the discrepancy (Attachment #5) Copy of all emails from Family Living Specialists reporting their record review on all client allergies (Attachment #6) 02/28/2017 Implemented
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SIN-00174718 Renewal 08/14/2020 Compliant - Finalized
SIN-00175068 Unannounced Monitoring 08/11/2020 Compliant - Finalized
SIN-00066330 Initial review 08/01/2014 Compliant - Finalized