| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.181(e)(1) | The assessment completed 09/25/20 for Individual #1 did not include strengths, needs, or preferences of the individual. This section was left blank. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | Strengths, needs, and Preferences were completed in the assessment for individual #1 by the program specialist on 2/15/21 to 2/16/21. Going forward, after the assessment is completed and signed by the program specialist, the assessment will be reviewed by the program director to ensure that all areas of the assessment are completed in their entirety. Training in regulation 6400.181(e)(1) was given to all program specialists by the program director as well as the staff. It is the opinion of the program director that staff should be aware of the importance of a complete assessment. Supporting documentation attached. |
02/12/2021
| Implemented |
| 6400.181(e)(2) | The assessment, completed 09/25/20 for Individual #1 did not include likes, dislikes, or interests of the individual. This section was left blank. | The assessment must include the following information: The likes, dislikes and interest of the individual. | Likes, Dislikes, or Interests of the Individual were completed in the assessment for individual #1 by the program specialist on 2/15/21 to 2/16/21. Going forward, after the assessment is completed and signed by the program specialist, the assessment will be reviewed by the program director to ensure that all areas of the assessment are completed in their entirety. Training in regulation 6400.181(e)(2) was given to all program specialists by the program director as well as the staff. It is the opinion of the program director that staff should be aware of the importance of a complete assessment. Supporting documentation attached. |
02/12/2021
| Implemented |
| 6400.34(a) | Individual #1 was informed and explained individual rights on 1/13/2021. The rights document did not include the following rights: 6400.32d, to be treated with dignity and respect; 6400.32e, the right to make choices and accept risks; 6400.32f to refuse to participate in activities and services; 6400.32g, to control his own schedule and activities; 6400.32h, to control his own schedule and activities; 6400.32l, to receive scheduled and unscheduled visitors and to communicate and meet privately with whom the Individual chooses, at any time; 6400.32q, to furnish and decorate the Individual's bedroom and the common areas of the home; 6400.32r, to lock the Individual's bedroom door; 6400.32s, to have a key, access card, key code or other entry mechanism to lock and unlock an entrance door of the home; 6400.32t, to access food at any time; 6400.32u, to make health care decisions; 6400.32v, right may only be modified accordance with 6400.185. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | ndividual #1 was informed of the revised rights on 2/12/2021 by the staff and program specialist. These individual rights were immediately corrected by the program director and were reviewed with the staff and program specialist. These rights will be reviewed with the individual with staff assistance. After completion they will be reviewed by the program specialist and program director for signature to ensure that the correct set of rights are received by the individual and that they were completed within the annual timeframe. Staff were trained on regulation 6400.34(a). Supporting documentation attached. |
02/12/2021
| Implemented |
| 6400.181(f) | The program specialist provided the assessment, completed 9/25/20 for Individual #1 to the individual plan team members on 09/25/20 for the individual plan meeting on 10/22/20. | The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. | When the support coordinator proposes a date for the annual ISP meeting that is less than 30 days following an assessment notification, the program specialist will check the date of assessment and request to change the meeting date to comply with the regulation and ensure that the meeting is held at least 30 days after the assessment notification date. The program director will communicate with Fayette County Behavioral Health Administration Director of Intellectual Disabilities, the importance of regulation 6400.181(f). Supporting documentation attached. |
02/18/2021
| Implemented |