| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | On 8/19/15, at approximately 10:45 AM the outside light on the front porch of the home was not operable. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| The outside light on the front porch had a burned out light bulb. A new bulb was put in and the light fixture was then operable. The home staff complete a monthly checklist in the home that includes checking for burned out light bulbs. The awake-night staff in the home will also check for burned out light bulbs and inoperable fixtures daily.[Immediately, the CEO will develop and implement policies and procedures to ensure monthly checks and needed repairs are completed in the community homes. Within 30 days of receipt of the plan of correction, all staff working in the homes shall be educated in the policies and procedures for maintaining a safe environment. Documentation of monthly checks by staff shall be kept and reviewed at least quarterly by the CEO to ensure completion and safety conditions are maintained in the homes. (AS 2/25/16)] |
09/12/2015
| Implemented |
| 6400.68(b) | At 10:25 AM the hot water at the bathtub measured 126.3 degrees Fahrenheit. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Community Living and Learning adjusted the hot water tank until the hot water in all locations of the home measured below 120 degrees Fahrenheit. The agency then made a new hot water check form and trained all of the staff in the agency on measuring the hot water temperature and documenting it on the new form.[Immediately, CEO will develop, implement and train staff on the procedures for measuring and maintaining that hot water temperatures do not exceed 120 degrees Fahrenheit. Within 1 month of receipt of the plan of correction, designated staff will complete hot water check at all community homes bathtubs and showers at least monthly and document on the aforementioned form. CEO or designated staff will review the hot water check forms at least monthly to ensure competition of the checks and hot water temperature do no exceed 120 degrees Fahrenheit. (AS 3/2/16)] |
09/01/2015
| Implemented |
| 6400.71 | The telephone number of the poison control center was not on or by the telephone located on the wall between the kitchen and the stairway leading to the basement. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| New posting was put up the same day beside all of the phones in the home. The new posting included the nearest hospital, police department, fire department, ambulance, and poison control center. Also added to the Supervisor Site Visit Checklist was checking that these emergency numbers are present and include the poison control center.[Within 1 month of receipt of the plan of correction, aforementioned site visit checklist will be completed at least monthly and reviewed at least quarterly by the CEO to ensure completion and that all required telephone numbers are on or by all telephones with an outside line. Documentation of checklists and reviews shall be kept. (AS 3/2/16)] |
08/19/2015
| Implemented |