| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The kitchen area has grease over the microwave and the adjoining cabinets. | Clean and sanitary conditions shall be maintained in the home. | Agency had a cleaning company come out and do a thorough fall cleaning, to correct this issue and also do some deep cleaning that staff do not get to. This was completed on 10/30/2018. Agency has contracted with this service to come out once monthly as well . Beth Davidson will email ODP licensing copy of invoice from 11/2018 to validate compliance |
11/30/2018
| Implemented |
| 6400.72(a) | The kitchen window is missing a screen and debris is accumulating in the window well. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Beth Davidson reviewed monthly safety inspection checklist with both program staff and maintenance staff again. A new window was installed as screen was unable to be repaired. Beth Davidson will email ODP licensing staff documentation of completion of repairs. |
12/12/2018
| Implemented |
| 6400.141(c)(1) | The physical for individual #1 lacked a review of previous medical history. | The physical examination shall include: A review of previous medical history. | Staff are now using a new physical form that contains all the necessary information required by licensing. Copy of Physicals for Individuals due on new form will be emailed by Beth Davidson to ODP licensing staff to demonstrate compliance with this regulation. Staff are now using a new physical form that contains all the necessary information required by licensing.
Copy of Physicals for Individuals due on new form and accompanying medical history review attachments will be emailed by Beth Davidson to ODP licensing staff to demonstrate compliance with this regulation. |
01/15/2019
| Implemented |
| 6400.141(c)(14) | The physical for individual #1 lacked information for diagnosis and treatment in case of emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Staff are now using a new physical form that contains all the necessary information required by licensing. Copy of Physicals for Individuals due on new form will be emailed by Beth Davidson to ODP licensing staff to demonstrate compliance with this regulation. Staff are now using a new physical form that contains all the necessary information required by licensing.
Copy of Physicals for Individuals due on new form and accompanying medical history review attachments will be emailed by Beth Davidson to ODP licensing staff to demonstrate compliance with this regulation. |
01/15/2019
| Implemented |
| 6400.213(1)(i) | The photo for individual #1 was not dated. | Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.
| Individual # 1 had new photo taken and dated. Beth Davidson will email ODP licensing staff copy of photo to demonstrate compliance. |
10/20/2018
| Implemented |