| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 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 waffles and an open bag of frozen cross trax potatoes were 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 |
| 6400.181(f) | The assessment for Individual #1 completed on 12-6-14 was not sent to the team. | (f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
| The RPD met with PS's on 4-13-15 to address this issue. There was an agency wide misunderstanding. The program specialists identified three behavior specialists contracted with the county who were not receiving assessments along with the other ISP team members. A letter was sent out with a copy of the most recent Assessment. The RPD will receive copies of these letters and monitor to assure that everyone receives their copies in the future. A copy of the form letter was emailed to Andrea Kurtz. |
04/27/2015
| Implemented |
| 6400.186(d) | The ISP review documentation for Individual #1 completed on the following dates was not sent to the team: 3-9-15, 12-9-14, 9-9-14, and 6-9-14. | The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. | The RPD met with agency Program specialists on April 13th to address this issue. It appears to be an agency wide misunderstanding. None of the residential or ATF PS's were forwarding the Review and Revision to behavior specialists contracted by the county and included on the ISP team. We discovered three behavior specialists agency wide who were inadvertently excluded from receiving copies. A form letter was devised and the PS's have until April 30th to get the most current Rev and Revision to the appropriate team member. The letter explains how they were missed and assures them that they will receive all future documents in a timely manner. The RPD will get copies of these letters and will monitor to assure that all ISP team members are included in the future. A copy of the form letter was emailed to Andrea Kurtz. |
04/27/2015
| Implemented |