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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | A light bulb was out in the first floor bathroom. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Light bulb was immediately purchased and replaced by program manager (attachment # 14). To ensure compliance that all rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps, and fire escapes shall be lighted to assure safety and to avoid accidents the homes will be inspected on a regular basis. Program managers will visit all their sites at least weekly and document such on CHS Review Checklist, which will be submitted to co-directors biweekly. Additionally, the CHS Co-Directors, the Assistant Director, and the Quality Assurance Specialist, on a weekly rotating schedule, will inspect all homes to make sure cleanliness is maintained, and conditions meet regulations. Visits will be documented. Any/all issues identified with any physical site requirements will be immediately addressed with the program manager and/or Operations as needed. |
11/18/2016
| Implemented |
| 6400.67(a) | A dresser in Individual #1's bedroom was missing knobs. The woodwork and trim in the doorway to Individual #2's bedroom was damaged with splintering wood and missing paint. | Floors, walls, ceilings and other surfaces shall be in good repair. | Program manager purchased a new dresser with built in handles for Individual #1 (attachment # 15). Interact maintenance department sanded and repaired the splintering wood and painted the door frame as required. In addition, a clear shield was added to the wall to help protect it from individual's wheelchair (attachment # 16). To ensure compliance that floors, walls, ceilings and other surfaces shall be in good repair, the homes will be inspected on a regular basis. Program managers will visit all their sites at least weekly and document such on CHS Review Checklist, which will be submitted to co-directors biweekly. Additionally, the CHS Co-Directors, the Assistant Director, and the Quality Assurance Specialist, on a weekly rotating schedule, will inspect all homes to make sure all conditions meet regulations. Visits will be documented. Any/all issues identified with any physical site requirements will be immediately addressed with the program manager and/or Operations as needed. |
01/30/2017
| Implemented |
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