| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(11) | The section pertaining to these areas on Individual #1's physical was left blank. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | Upon completion of the physical examination the program manager and or designee shall complete a thorough review of the physical examination form to ensure that each section of physical examination form is completed. In the event that this information has not been completed or left blank, the Program Manager and or designee will follow-up with the primary care physician to ensure that the incomplete or blank information is corrected. All Keystone Independent Living Program Managers and Program Coordinators will be trained on this expectation by 3/17/2017. All previously completed physicals will be reviewed for blank / incomplete information by 3/24/2017. Any incomplete physicals will be corrected by 4/14/2017. |
04/14/2017
| Implemented |
| 6400.141(c)(12) | The section pertaining to physical limitations was left blank on Individual #1's physical. | The physical examination shall include: Physical limitations of the individual. | Upon completion of the physical examination the program manager and or designee shall complete a thorough review of the physical examination form to ensure that each section of physical examination form is completed. In the event that this information has not been completed or left blank, the Program Manager and or designee will follow-up with the primary care physician to ensure that the incomplete or blank information is corrected. All Keystone Independent Living Program Managers and Program Coordinators will be trained on this expectation by 3/17/2017. All previously completed physicals will be reviewed for blank / incomplete information by 3/24/2017. Any incomplete physicals will be corrected by 4/14/2017. |
04/14/2017
| Implemented |
| 6400.163(c) | Individual #1's psychiatric medication reviews were not completed in the required timeframe. They were reviewed on 04/28/16 then not again until 08/16/16. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | Psychiatric appointments will be scheduled to occur on or before they are due. If a circumstance arises that prohibits a psychiatric appointment to be completed on time, documentation will be requested from the treating psychiatrist identifying the reason for the late appointment. The program manager and program coordinator have reviewed this plan and are aware the psychiatric appointments need to be scheduled in advance along with the need for documentation from the treating psychiatrist if a situation arises that an appointment cannot be made / kept. |
03/17/2017
| Implemented |