Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.33(e) | On 4-10-15, at approximately 10:00 AM an audio monitor was present and in use in the bedroom belonging to Individual #1. Individual #1 is not able to operate the audio monitor. | An individual has the right to privacy in bedrooms, bathrooms and during personal care. | The audio monitor was disabled as part of an interim plan of correction. Staff will conduct bed checks every 30 minutes to prevent individual #1 from being injured by attempting to get out of bed without assistance. PS's made staff aware of this new procedure and will monitor to assure that it continues. The agency intends to apply for a regulatory waiver in the near future. |
04/25/2015
| Implemented |
6400.71 | The emergency telephone numbers by each of the telephones in the home do not include the fire department, police department and ambulance. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| The Emergency phone list was revised for all residential sites to include the proper language. New labels were also created for portable phones. Program specialists had the new lists and labels in place at all sites by 4-18-15. They will monitor to assure they remain current. A copy of the phone list was emailed to Andrea Kurtz. |
04/27/2015
| Implemented |
6400.171 | An open bag of frozen chicken patties was in the freezer. | Food shall be protected from contamination while being stored, prepared, transported and served.
| LCARC Program Specialists will be retraining all direct care staff on proper food storage during the month of May 2015. Staff will be trained during monthly house meetings and also during the May in service. We have made storage part of our pre service training curriculum and annual training. It will be part of the special diets, nutrition and risk management. Posters were also developed to hang in kitchens to remind staff of this important responsibility. A copy of the training material and poster will be emailed to Andrea Kurtz as part of the POC. PS's will spot check houses during weekly house visits to assure the proper storage standards are maintained. All trainings will be complete by May 31 2015 |
04/27/2015
| Implemented |