Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(a) | The home has individuals who are not capable of handling poisons. Dial microbial handwashing lotion was found on the kitchen counter. The label states to call poison control if ingested. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Dial soap was remove- POC- All poisons will be locked up at all times. |
07/08/2019
| Implemented |
6400.67(a) | In room #2 the lockset was stuck in the open position at the bathroom entrance.
The bedroom door leading to the bathroom had exposed wood splinters at its base.
The left hallway door exit had dirt and cobwebs on the outside.
The mechanical room closet had a hole in the ceiling covered with cardboard. | Floors, walls, ceilings and other surfaces shall be in good repair. | "Splintered bottom of door in room #2 reported to maintenance - door was repaired. POC- all doors will be checked every month. (attachment #5)
Room #2 lockset repaired. POC- all doorknobs will be inspected monthly for proper functioning. (attachment #6)
Left hallway exit area cleaned by housekeeping. Ceiling tile to be installed by maintenance.
Hole in ceiling of mechanical room - ceiling tile replaced.
Left hall door exit area was cleaned- POC- Housekeeping to clean weekly." |
07/08/2019
| Implemented |
6400.67(b) | The laundry room has a set of small lockers of which one unit is rusted.
In room #15, the ceiling exhaust was filled with dust. | Floors, walls, ceilings and other surfaces shall be free of hazards. | "Maintence removed the lockers - POC new lockers will be purchased.
House keeper cleaned Ceiling vent- POC- this has been added to the housekeeper daily checklist." (attachment 4) |
07/08/2019
| Implemented |
6400.76(a) | Room #4 has a chest of drawers missing 3 knobs.
The hallway on the right has an exit door with its closure leaking fluid. | Furniture and equipment shall be nonhazardous, clean and sturdy. | 3 New knobs were replaced in room #4 POC- Dressers have been added to the monthly environmental form. The closure was addressed new door was installed on 6/26/19. (attachment 3) |
06/26/2019
| Implemented |
6400.142(a) | Individual #2's previous dental exam was completed on 11/20/17 and the current dental exam was done on 12/7/18 which were more than a year from each other. | An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | Dental report on chart dated 7/10/2018, eight months after the November 2017 exam. 7/10/18 report states this was a recall visit; severe enamel erosion noted. Dental report attached. (attachment 2) |
07/08/2019
| Implemented |
6400.240(b) | The kitchen dishwater was found inoperative. | A mechanical dishwasher shall use hot water temperatures exceeding 140°F in the wash cycle and 180°F in the final rinse cycle or shall be of a chemical sanitizing type approved by the National Sanitation Foundation. | The dishwashwer was repaired on 5/1/2019. POC- the dishwasher was reported to maintenance on 4/28/19 as per protocol. A part was needed to complete the repair.See attached procedures. (attachment 1) |
05/01/2019
| Implemented |