Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00112961 Renewal 04/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Russel Hand Soap that says keep out of reach of children was found in the kitchen, and Labender Foaming bath that also says keep out of reach of children was found in Individual #1's bedroom. Individual #1 and #2 can not safely handle poisonous material.Poisonous materials shall be kept locked or made inaccessible to individuals.All soaps were removed from the home. Soft Soap or any soaps with a non-poisonous label have been purchased for all homes. Merakey Delaware county understands the essence of keeping poisonous substances out of reach of all consumers who's assessment and ISP clearly outline inability to identify and safely avoid poisonous substance. Residential managers shall complete residential safety monitoring to ensure the safety of all Individuals served. Program directors shall provide oversight and ensure compliance with the 6400 regulation relating to Individuals' ability to identify and safely use poisonous substance (inserted by Desmond Pessima on 6/18/18) 04/12/2017 Implemented
6400.168(d)Staff #1's 2016 medication administration annual practicum did not include Medication Administration Record Reviews. Staff #1 administered medication with an incomplete annual practicum.A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. All current, new employees "that administer medication now have complete medication administration training with annual practicums up to date" (inserted by Desmond Pessima on 6/18/18). Going forward, management will monitor & maintain the observation process and will ensure all employees receive the observation "and MAR Review" per the med administration guidelines. 09/01/2017 Implemented
SIN-00091024 Renewal 01/19/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Dial hand soap which indicated to contact poison control if ingested was found unlocked in the bathroom located in the basement.Poisonous materials shall be kept locked or made inaccessible to individuals. All poisonous materials were subsequently locked up. Going forward, Fire Drill forms were amended to include checks for any non secured poisonous materials (See attached). (Staff will be retrained on how to identify a poisonous substance. staff will conduct a physical site check daily to ensure poisonous substances are locked and will document the site check in the daily log 08.02.16) 04/06/2016 Implemented
SIN-00052219 Renewal 09/20/2013 Compliant - Finalized