Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(a) | A container of Dollar General Triple Antibiotic Ointment 1 ounce was left unlocked and accessible to individuals on the end table in the living room located closest to the main entryway. | Poisonous materials shall be kept locked or made inaccessible to individuals. | By 8/1/17 the house staff will be educated by Program Specialist and Wellness Coordinator on poison awareness and the individual¿s ISP as it pertains to individuals being poison aware or not. |
08/01/2017
| Implemented |
6400.67(a) | The basebord moldings in the bathroom of the home were ripped off the wall surrounding the toilet and a piece of the molding was coming off of the wall between the toilet and the tub. | Floors, walls, ceilings and other surfaces shall be in good repair. | LSS received an estimate for remodeling the bathroom on 2/15/17. Remodeling began 5/30/17 and was completed 6/16/17. |
06/16/2017
| Implemented |
6400.76(a) | The dresser in Individual #1's bedroom was missing the top and bottom dresser drawers. | Furniture and equipment shall be nonhazardous, clean and sturdy. | LSS would like to appeal this citation due to individual #1 making his own choice to use the dresser as a CD case. Management did encourage the purchase of a new dresser however individual #1 did not want to purchase a new dresser. Individual #1 signed a statement about his desire not to purchase a new dresser. Individual #1, as his own guardian, has the right to make that decision. |
07/14/2017
| Implemented |
6400.77(b) | The first aid kit did not contain scissors. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | On 7/7/17 Wellness Coordinator replaced the Frist Aid Kit at the house to ensure all items are present
A First Aid Kit checklist was developed by the Wellness Coordinators to ensure that the house First Aid Kits contain the following: antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Beginning 8/1/17 the Wellness Coordinators will conduct monthly inspections of the house First Aid Kits to ensure compliance with the regulations. |
08/01/2017
| Implemented |
6400.141(c)(3) | According to Individual #2's physical dated 1/5/17 he/she has not had received any immunizations. | The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | Sent the information to Jim concerning this citation. |
07/14/2017
| Implemented |
6400.141(c)(6) | According to Individual #2's physical dated 1/5/17 he/she has not been tested for tuberculosis. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | Sent the information to Jim concerning this citation. |
07/14/2017
| Implemented |
6400.183(5) | The Individual Support Plan for Individual #2 updated 3/17/17 does not include his/her social, emotional and environmental support plan. Individual #2 is prescribed psychotropic medications. | The ISP, including annual updates and revisions under § 6400.186 (relating to ISP review and revision), must include the following: A protocol to address the social, emotional and environmental needs of the individual, if medication has been prescribed to treat symptoms of a diagnosed psychiatric illness. | By 8/1/17 Program Specialist will personally ensure that a copy of the most recent SEE Plan for each individual is placed in their respective homes. The Residential Support Team will conduct ongoing audits of the house records to ensure compliance with the regulations. |
08/01/2017
| Implemented |
6400.214(a) | Individual #2's most recent physical which was dated 1/5/17 was not present and available at his/her home. | Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home. | By 8/1/17 Program Specialist will personally ensure that a copy of the most recent physical for each individual is placed in their respective home. The Residential Support Team will conduct ongoing audits of the house records to ensure compliance with the regulations. |
08/01/2017
| Implemented |