| 6500.78(a) | Individuals #1 and #2 have unsteady gaits and require assistance to ambulate on uneven surfaces. During the 7/21/21 inspection of the home, the front walkway contained a few sticks and overgrown plants laying on part of the walkway. The exterior walkway leading to the gate on the perimeter of the home, was a tripping hazard. The walkway was dirt, rocks, occasional stepping stones, and completely overgrown with plants and shrubs making it difficult to walk. | An outside walkway that is used by individuals shall be free from ice, snow, obstructions and other hazards. | Providers Plan of Correction:
1. Immediate fix: 2109 Independence Dr will remove debris and weed kill grass and weeds on the walkways 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. The Life Sharing Specialist will review mobility needs and apply them to the specific environment at the service location. If applicable, potential safety hazards will be addressed by the team.
6. Any grass, weeds, or debris on or near the walkways will be removed 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. A picture (Attachment #12) showing compliance with the walkways will be sent to ODP no later 9/30/21.
6. A copy of the revised ISP to address possible environmental safety concerns at the primary service location (Attachment 14).
7. Program check log sheet (Attachment #11) will be completed and sent to verify compliance in all homes not inspected no later than 9/30/21. |
09/30/2021
| Implemented |
| 6500.107(a) | The only smoke detector in the common area on the first floor, where Individual #1's bedroom is located, did not emit a sound when activated. | A home shall have a minimum of one operable automatic smoke detector provided on each floor, including the basement and attic. | Providers Plan of Correction:
1. Immediate fix: 2109 Independence Dr already fixed the defective test button on the smoke detector. The problem was simple. It was a loose connection. Once the smoke detector was firmly plugged in, it worked just fine.
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 statement verifying the smoke detector emits sound when the test button is pressed 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 #26).
6. A statement to verify the smoke detector is working properly will be sent to ODP no later 9/30/21 (Attachment #27).
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 (Attachment #25). |
09/30/2021
| Implemented |