Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.17(b) | The self-assessment completed 9/07/2022, was last updated in 2018 and did not include all of the regulations. | The agency shall use the Department's licensing inspection instrument for this chapter to measure and record compliance. | The Snr. Dir. of IDD provided the LS Specialists with the current / correct self-assessment form and older versions of the form have been discardedas of 3/10/23. The LS Specialists will re-do the self-assessments for all licensed homes on the new forms by 7/31/23. |
03/10/2023
| Implemented |
6500.71 | During the inspection conducted 3/10/2023, the phone in the living room next to the television did not include telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center. | 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. | A proper label / sticker with all necessary emergency numbers was given to the LS Caregiver to place on her phone on 3/16/23. |
03/16/2023
| Implemented |
6500.72(b) | During the inspection conducted 3/10/2023, Individual #1's bedroom door did not have a doorknob. It was removed. | Screens, windows and doors shall be in good repair. | A knob was placed on the individual's bedroom door on 3/16/23. |
03/16/2023
| Implemented |
6500.101 | During the inspection conducted 3/10/2023, there was a privacy hook and eye latch lock on the outside of the second-floor full bathroom, and if engaged could cause a blocked egress. During the inspection the exit from the kitchen to the side of the home had a 13-gallon trash can obstructing the exit door to the outside. | Stairways, halls, doorways and exits from rooms and from the home shall be unobstructed. | The hook & eye latch was removed from the bathroom door during the licensing visit and a new knob was installed on that door on 3/16/23. The trashcan was also removed from in front of the exit door in the kitchen. |
03/16/2023
| Implemented |
6500.183 | During the inspection conducted 3/10/2023, Individual #1's current record information was not kept in the home. | Copies of the most current record information required in §6500.182(c)(1)¿(14) (relating to individual records) shall be kept in the family living home. | The current assessment and ISP will be provided to the LS Caregiver along with a letter reminding them that all client records must be kept in a locked and secure location within their home on 3/20/23. |
03/20/2023
| Implemented |
6500.133(d) | During the inspection conducted 3/10/2023, the first aid kit contained Aspirin 325mg and Antacid 420mg and is kept unlocked and accessible by the individual. Individual #1 is not able to self-administer medications. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | The Aspirin and Antacid were removed from the first aid kit during the inspection. |
03/23/2023
| Implemented |