| 6500.107(b) | A smoke detector was not located in a common area on the first floor of the home. | Smoke detectors shall be located in common areas or hallways. | Provider Plan of Correction:
1. Immediate fix: 231 Meriweather will add a smoke detector to the common area of the first floor immediately.
2. Program Director, will train all Team Supervisors on the regulation no later than 8/27/21.
3. The Team Supervisors will train all Life Sharing Specialists on the regulation no later than 8/27/21.
4. The Life Sharing Specialists will train all primary caregivers on the regulation no later than 8/27/21.
5. The revised smoke detector check form will be completed no later than 8/27/21.
6. A picture of the new detector in the common area will be completed no later than 8/27/21.
7. A program check will be conducted in all homes not inspected no later than 8/27/21.
8. If any additional violations are found, they will be corrected no later than 9/30/21 or an extension will be requested.
Attachments:
1. Attachment Log Sheet to organize all the attachments with a reference number (Attachment #1). A copy will be sent to ODP no later 9/30/21.
2. Training Summary Form for all Team Supervisors (Attachment #2). A copy will be sent to ODP no later 9/30/21.
3. Training Summary Form for all Life Sharing Specialist (Attachment #3). A copy will be sent to ODP no later 9/30/21.
4. Training Summary Form for all Primary Caregivers (Attachment #7). A copy will be sent to ODP no later 9/30/21.
5. The revised and completed smoke detector check form will be sent to ODP no later than 9/30/21 (Attachment #28).
6. A picture of the new smoke detector in a common area of the 1st floor will be sent to ODP no later 9/30/21 (Attachment #29).
7. Program check log sheet (Attachment #24) will be completed and sent to verify compliance in all homes not inspected no later than 9/30/21.
8. Copy of obsolete smoke detector check form to show revision changes will be sent to ODP no later than 9/30/21 (Attachment #25). |
09/30/2021
| Implemented |
| 6500.110(b) | According to the home's 11/20/19 and 11/18/20 fire safety training plan, the meeting place to congregate after conducting a fire drill is the row of trees behind the house. According to the fire drill records, there were multiple times all individuals residing in the home did not evacuate to the meeting place during the drill. The following are examples of this occurring:
· On 6/27/21 and 12/9/20, they met at the "spot at end of yard."
· On 3/10/21 and 9/14/20, they met at the mailbox. | The training plan shall include training in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the home, smoking safety procedures if any individuals or family members smoke in the home, the use of fire extinguishers and smoke detectors and notification of the local fire department as soon as possible after a fire is discovered. | Providers Plan of Correction:
1. Immediate fix: The assigned life sharing specialist will complete a new fire safety plan at 231 Meriweather Dr to correct the meeting place discrepancy no later than 8/27/21.
2. Program Director, will train all Team Supervisors on the regulation no later than 8/27/21.
3. The Team Supervisors will train all Life Sharing Specialists on the regulation no later than 8/27/21.
4. The Life Sharing Specialists will train all primary caregivers on the regulation no later than 8/27/21.
5. A program check will be conducted in all homes not inspected no later than 8/27/21.
6. The fire safety plan will be corrected no later than 8/27/21.
7. If any additional violations are found, they will be corrected no later than 9/30/21 or an extension will be requested.
Attachments:
1. Attachment Log Sheet to organize all the attachments with a reference number (Attachment #1). A copy will be sent to ODP no later 9/30/21.
2. Training Summary Form for all Team Supervisors (Attachment #2). A copy will be sent to ODP no later 9/30/21.
3. Training Summary Form for all Life Sharing Specialist (Attachment #3). A copy will be sent to ODP no later 9/30/21.
4. Training Summary Form for all Primary Caregivers (Attachment #7). A copy will be sent to ODP no later 9/30/21.
5. The revised fire safety plan correcting the meeting place will be sent to ODP no later than 9/30/21 (Attachment #34).
6. Program check log sheet (Attachment #35) will be completed and sent to verify compliance in all homes not inspected no later than 9/30/21. |
09/30/2021
| Implemented |