Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.22(c) | Individual #2 has a receipt from 12/14/13 from Super Shoes Store with a total of $29.99. However, on the financial log for Individual #2, this purchase was entered and deducted as $39.99. | Individual funds and property shall be used for the individual's benefit. | Financial policy and procedure will be followed. Supervisor will reexamine all receipts prior to submission to fiscal personnel. Fiscal personnel will be instructed to reexamine both receipts and calculations. Program Participant will be reimbused $10.00 for mis calculation of funds |
10/28/2014
| Implemented |
6400.76(a) | In Individual #3's bedroom there is a broken dresser. The last dresser drawer is stuck inside the dresser. The second to the last dresser drawer has been removed from the dresser and placed on the floor of the bedroom. | Furniture and equipment shall be nonhazardous, clean and sturdy. | Program Particpant will receive new furniture. On site manager will assess furniture on a weekly basis. All requests for repairs and/or replacement will be done by on site supervisor |
10/30/2014
| Implemented |
6400.161(e) | Located in a night stand drawer in the staff bedroom an expired medication for Individual #3 was found. The Anti-Diarrheal caplets 2mg for Individual #3 was prescribed on 2/20/2013 with an expiration date of 10/2013. | Discontinued prescription medications shall be disposed of in a safe manner. | Medications that are discontinued or expired will be put in the medicaiton box to be taken back to the pharmacy. The on site manager will make sure that all discontinued and/or expired medications be disposed of properly. Employees will be reeducated on proper disposal procedures. |
10/30/2014
| Implemented |
6400.213(11) | In the ISP for Individual #2, it is stated that the individual is "self-medicating with 1 medication." However, in the residential assessment for Individual #2, it is stated that the individual "does not self-medicate." | Each individual's record must include the following information: Content discrepancy in the ISP, The annual update or revision under § 6400.186. | Supports Coordinator was requested to make changes to the ISP to reflect assessment. To prevent non matching information in the future: the ISP will be read and compared to the assessement when the ISP is made available to the provider. If changes are needed request will be sent to Supports Coordinator and documentation of the request will be kept with the ISP. |
09/22/2014
| Implemented |