| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | Outside steps, doorways and porches are not lighted to ensure safety and avoid accidents. The light outside of the kitchen door on the second floor of the home did not work. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| The maintenance staff was called to the site and instructed to remove (blown bulb) and replace it with a new one. |
04/05/2024
| Implemented |
| 6400.141(c)(4) | Individual #1's annual hearing exam was completed late. Individual #1 had a hearing exam completed on 6/1/22 and did not have another completed until 6/29/23. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | An appointment has been for scheduled for this years annual hearing exam on 6/07/24. |
04/08/2024
| Implemented |
| 6400.166(b) | Individual #1 is prescribed over the counter, pro nata medications including Tylenol, Robitussin, Alegra, Tums, Colace, Imodium, Preparation H, Hydrocortisone cream, and Neosporin. These medications and dosing instructions are not recorded on the medication administration record. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | Updated OTC, pro nata list is with the PCP for reviewing and approval. This will be forwarded to the pharmacy by 4/22/24. The Pharmacy will provide the medications and create a medication record. Medication record will be utilized to record administrations.. |
04/18/2024
| Implemented |
| 6400.185(1) | Individual #1's Individual Service Plan (ISP) does not contain revisions including the Individuals ability to manage money. Individual #1's annual assessment dated 2/8/24 states "Individual #1 recognizes money as a medium exchange and has cash in the individual's possession without losing it. The assessment does not indicate how much money Individual #1 is able to manage or carry. " Individual #1's ISP's does not address Individual #1's ability to manage any amount of money. Individual #1 is provided between $10-20 in spending money that the individual maintains on their person. | The individual plan, including revisions, must include the following: The individual's strengths, functional abilities and service needs. | The ISP was revised to include the individuals' strengths functional ability and service needs as illustrated below.
The Individual understands money as a medium of exchange. He recognizes one dollar. five dollar and ten-dollar bills but prefers to use one-dollar bills for shopping. Individual is able to make purchases up to $20 with staff assistance and will stand in line to wait for his receipt. Individual is able to have up to $20 in his possession without losing it. |
04/22/2024
| Implemented |