| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | During the inspection conducted 9/14/2022 there multiple windows throughout the home without screens and collapsible screens were identified under the windows on the floor. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Windows, including windows in doors, shall be securely screened when windows or doors are open.
All windows at 2059 Hobson have been made screens with ¿Make 2 Fit¿ Screen Frame Kit ~ Build your own custom Sized Screen that fits into the window, with the window in place. When the window is open the screen can be slid up or down on the current tracking. Or for 2059 the screen that was originally built to fit the window was located and placed in the window.
Windows, including windows in doors, shall be securely screened when windows or doors are open.
All but two windows at 304 Little Germany have been made screens with ¿Make 2 Fit¿ Screen Frame Kit ~ Build your own custom Sized Screen that fits into the window, with the window in place. When the window is open the screen can be slid up, down or side to side depending on the window, on the current tracking.
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10/04/2022
| Implemented |
| 6400.141(c)(14) | Individual #1's physical examination completed 8/20/2021 did not include medical information pertinent to diagnosis and treatment in case of an emergency. It was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Immediate Corrective Action Plan: The most recent physical examination form for individual #1 was again emailed back to Beacon Light STRIDE RTF on 9/20/22 to include medical information pertinent to diagnosis and treatment in case of emergency by physician that did the original physical. The updated physical forms were received by email on with all the needed information on it and then it was filed in the individuals record. |
09/20/2022
| Implemented |
| 6400.181(e)(10) | Individual #1's assessment completed 6/13/2022 did not include a lifetime medical history. | The assessment must include the following information: A lifetime medical history. | As per regulation 6400.181 e (10), all individuals residing in Armstrong Care, Inc shall have a Lifetime Medical History attached to the assessment and it will be updated yearly or as necessary. Program Specialists along with the residential supervisors will review their caseloads and ensure that individuals Lifetime Medical histories are attached and updated. |
09/16/2022
| Implemented |
| 6400.182(c) | Individual #1's individual service plan, last updated 7/29/22, states the individual understands the dangers of poisons, but the assessment completed 6/13/2022 states the individual can avoid laundry soap, dish soap, pledge, and Lysol wipes but needs assistance for other poisons. The individual service plan states that the individual cannot be home alone due to health and safety concerns and that he is supervised at all times in the community for health and safety. Individual #1's assessment states he can be alone in another room with out visual supervision for up to 30 minutes. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | For individual #1 dangers of poisons, and home alone on assessment the Supports coordinator has been notified on _9/19/22____ the ISP was update on _9/20/22____ information in the ISP and the current Assessment are matching. |
09/20/2022
| Implemented |