| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(b) | The First Aid kit did not contain the following items: A thermometer, and an assortment of adhesive bandages. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | On 7/27/22 The missing thermometer and the assortment of adhesive bandages were replaced by the Program Coordinator. |
10/04/2022
| Implemented |
| 6400.141(c)(7) | Individual #1 last gynecological exam was completed on 11/7/19. | The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. | The individual is schedule to see the GYN on 10/24/2022. |
10/24/2022
| Implemented |
| 6400.181(e)(14) | Individual #1's annual assessment does not address the individual's knowledge of water safety or ability to swim. | The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. | Individual assessment will be updated to include knowledge of water safety and the ability to swim and forwarded to the Executive Director for review. |
10/04/2022
| Implemented |
| 6400.181(f) | Individual #1's assessment was not provided to team at least 30 days prior to ISP meeting. The assessment was completed on 10/19/21 and the ISP meeting was held on 11/9/21. | The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. | The individual's Assessment will be sent to the Team 30 days prior to the ISP date in the future. |
09/27/2022
| Implemented |