| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.46(d) | Staff #14 had CPR certification on 12/19/2019 which was valid through 12/19/2021. Staff did not have CPR training again until 3/22/2022, this exceeds the yearly requirement. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. |
07/31/2022
| Implemented |
| 6400.52(c)(1) | Staff #14 and Staff #15 did not receive annual training in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | A review of agency and state mandated training deadlines was discussed with Staff #14 and Staff #15 on the importance of completing trainings on time. This review was completed on 07/31/2022. Training in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships for Staff #14 will complete by 08/31/2022. Training for Staff #15 will complete by 08/31/2022. |
07/31/2022
| Implemented |
| 6400.52(c)(3) | Staff #15 did not receive annual training in individual rights. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights. | A review of agency and state mandated training deadlines was discussed with Staff #15 the importance of completing trainings on time. This review was completed on 07/31/2022. Individual Rights training was completed with Staff #15 on 06/10/2022. |
07/31/2022
| Implemented |
| 6400.186 | At the time of inspection there was a pair of scissors in the kitchen drawer that were accessible. This home requires all sharps to be locked. | The home shall implement the individual plan, including revisions. | The scissors were locked up immediately upon discovery. All staff were retrained on the need for locked sharps as per ISP¿s on 07/31/2022. |
07/31/2022
| Implemented |