Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00071782 Renewal 11/03/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(1)The financial ledge for Individual #1 was off by ten cents. The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. Individual #1's money was counted and balanced and the monthly ledger was adjusted to add .10 cents to the balance on 11/06/2014, Attachment #5. A review of all individuals' finances were completed on 11/10/2014 by management staff. Discrepancies were noted and corrected, Attachment #6. Habilitation Managers met with management staff to review Hope Financial Policy and Practices for accurate accounting of individuals' finances on 11/10/2014, Attachment #7. In conjunction with the LCN Directed Corrective Action Plan to assure continued compliance, Directors will monitor financial records weekly. Directors will complete a review checklist and submit it to the Residential Coordinator monthly. This process will occur in all Residential Homes in the LCN Region. 11/10/2014 Implemented
6400.195(a)Individual #1 uses an Abdominal Binder per doctor's order. It is used to restrict him from putting his hands down his pants to keep him from eating and/or smearing feces. There is no restrictive plan in place and the restrictive devise is being used. For each individual for whom restrictive procedures may be used, a restrictive procedure plan shall be written prior to use of restrictive procedures. Effective 11/5/2014 the abdominal binder was discontinued from use for Individual #1. An ABC Chart was implemented to determine frequency of behavior on 11/6/2014,Attachment #1. SEEN Plan was developed on 11/24/2014 based on the ABC Chart documentation, Attachment #2. CMSU Region staff will review restrictive procedures by 1/31/15. A review of all individuals' using binders was completed by Residential Directors on 12/17/2014 to ensure the binder is not being used as a restrictive device, Attachment #3. 02/28/2015 Implemented
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