| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.151(c)(3) | the physician did not indicate if staff 1 was free of communicable diseases. | The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | The physical form for employees will be updated to reflect a statement from the PCP to verify that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. |
10/15/2022
| Implemented |
| 6400.46(c) | None of the staff could provide documentation of CPR training. However, the agency did provide the sign in sheet of employees receiving the training. The agency is looking for agency to have staff receive CPR/First Aid training. | Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home shall be trained before working with individuals in first aid techniques. | All employees have received First aid, Heimlich techniques and CPR training by a trainer certified by the American Heart Association. The current issue is that the training center this trainer was trained at is no longer able to provide the certificates of completion. A new training center is being idenfited to ensure that all employees receive certificates of completion when attending their First aid, Heimlich techniques and CPR training. All employees will receive their annual First aid, Heimlich techniques and CPR training by 7/1/2023 to remain in compliance with their annual training. |
07/01/2023
| Implemented |
| 6400.46(d) | None of the staff could provide documentation of CPR training. However, the agency did provide the sign in sheet of employees receiving the training. The agency is looking for agency to have staff receive CPR/First Aid training.Individual 1 did not have a dental hygiene plan. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.A dental hygiene plan shall be rewritten at least annually. | The program specialist has pulled the dental hygiene information out of the annual assessment and created a separate Dental Hygiene Plan for Individual #1 as of 8/10/2022. The other individuals who reside at the home also now have a separate document for a Dental Hygiene Plan separate from the annual assessment as of 8/10/2022. |
08/10/2022
| Implemented |