| 6400.112(c) | The home conducted a fire drill on 05/26/22. The fire drill record did not indicate the exit route used to evacuate the home. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | Fire Drill check was completed on 9/12/22 for all Fire Drills conducted in 2022 to ensure all lines were completed. If information was missing on Fire Drill staff were notified that it needs to be completed. If missing information is unclear, Program Specialist will watch video to determine exit that was used so that it can be included on the fire drill form. |
09/13/2022
| Implemented |
| 6400.181(e)(14) | Individual #1's Assessment, dated 5/9/22, did not include a complete assessment of the individual's ability to swim and knowledge of water safety. In the assessment the following sections were left blank: For pools: kicks holding onto wall, floats on stomach, floats on back, swims using doggie paddle, swims using crawl stroke, treads water; For body of water other than pool: wades in water waist deep, wades in water chest deep, holds breath under water for 10, 20, 30 seconds or more. | The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. | All individual assessments will be checked by 12/19/22 to make sure there are no unanswered areas of the assessment¿. Special attention will be paid to Assessment results, Progress over the last year, strengths and needs. These sections will be compared to MCAR individual demographics and details pages as well as the ISP to ensure that all information is synonymous.
Also all lines of functional assessment will be double checked to ensure they were completed and that the information is correct. |
12/12/2022
| Implemented |