| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.24(c) | An individual's funds and property shall be used for the individual's benefit. On 6/3/22 Individual #3 purchased a lock med box at Walmart for $10.94. These items should not be purchased using individual's funds as they would be included in Room and Board. | An individual's funds and property shall be used for the individual's benefit. | Individual will be reimbursed for cost of lock box. |
10/14/2022
| Implemented |
| 6500.121(c)(14) | Individual #3's physical exam dated 6/10/22 did not include medical information pertinent to diagnosis and treatment in case of an emergency as this section of the exam was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Medical forms will be reviewed by life sharing providers prior to leaving medical appointments to ensure all information needed is documented |
10/14/2022
| Implemented |
| 6500.125(a) | Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home. Staff #1's physical examination is dated 5/19/11 and staff #2's physical examination is dated 5/28/11. According to agency staff the previous individual who resided in the home moved out on 4/8/21, and the home remained vacant with sub care being done until Individual #3 moved into the home on 4/22/22. This exceeds the requirement. | Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home. | Life Sharing providers and family members will have a physical completed prior to individuals living in the home |
10/14/2022
| Implemented |
| 6500.136(a)(11) | Individual #3's Medication Administration Record (MAR) did not have the diagnosis or purpose for the following medications: glyburide, metformin, metoprolol, furosemide, pota chloride, simvastatin, fish oil, and men's multivitamin. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | MAR will be updated to include diagnosis for each medication prescribed |
11/01/2022
| Implemented |