| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.181(e)(5) | Individual #1's assessment did not include the individual's ability to self-administer medications. | The assessment must include the following information: The individual's ability to self-administer medications. | 1.LSS Case Coordinators is responsible to ensure the assessments include the individual¿s ability to self-administer medications.
LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year. LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress if applicable.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary specifying the individual¿s ability to self-medicate.
(See attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(7) | Individual #1's assessment did not include the indvidual's knowledge of the danger of heat sources and ability to sense and move away quickly. | The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. | 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s knowledge of the danger of heat sources and the ability to sense and move away quickly.
LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year. LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress if applicable.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary specifying the individual¿s knowledge of the danger of heat sources and the ability to sense and move away quickly.
(See attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(9) | Individual #1's assessment did not include the individual's disabilty, including functional and medical limitations. | The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. | 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s disability, including functional and medical limitations. LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year. LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress if applicable.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary specifying the disability, including functional and medical limitations (See attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(13)(i) | Individual #1's assessment did not show progress and growth over the last 365 calendar days and current level in health. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health.
| 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s progress over 365 days and current level in health. LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year. LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary which included more detailed progress and growth over the 365 days in regards to health (see attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(13)(iv) | Individual #1's assessment did not show progress and growth over the last 365 calendar days and current level in personal adjustment. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment. | 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s progress over 365 days and current level in personal adjustment. LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year.
LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary which included more detailed progress and growth over the 365 days in regards to personal adjustment (see attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(13)(vi) | Individual #1's assessment did not show progress and growth over the last 365 calendar days and current level in recreation. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. | 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s progress over 365 days and current level in recreation. LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year. LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary which included more detailed progress and growth over the 365 days in regards to recreation (see attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1's assessment did not show progress and growth over the last 365 calendar days and current level in financial independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s progress over 365 days and current level in financial independence. LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year.
LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary which included more detailed progress and growth over the 365 days in regards to financial independence (see attached assessment).
|
05/07/2015
| Implemented |
| 6400.181(e)(13)(ix) | Individual #1's assessment did not show progress and growth over the last 365 calendar days and current level in community-integration. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration. | 1. LSS Case Coordinators is responsible to ensure the assessments include the individual¿s progress over 365 days and current level in community integration. LSS Case Coordinators will indicate and/or be more specific when reporting progress and/or non-progress from year to year.
LSS Case Coordinators will also specify reasons for progress and/or non-progress areas as well as what we will be done differently regarding interventions to help promote progress.
2. LSS Case Coordinators corrected Individula¿s#1 assessment summary which included more detailed progress and growth over the 365 days in regards to community integration (see attached assessment).
|
05/07/2015
| Implemented |
| 6400.213(1)(i) | Individual #1's record did not include next of kin. | Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph. | 1. LSS Case Coordinators is responsible to ensure to complete and/or update the consumers face sheet which identifies next of kin on a ¼ basis.
2. LSS Case Coordinators corrected Individual¿s #1 face sheet to include next of kin (see attached face sheet).
3. LSS face sheet was revised to include a picture of the consumer as well as a section at the bottom for dates when reviewed every 2 months (see attached face sheet).
4. LSS Medical Coordinator & LSS Case Coordinators are responsible to review the consumers face sheets every 2 months to ensure all information is updated and/or accurate. The face sheet will be re-dated on the bottom of the face sheet every 2 months.
|
05/07/2015
| Implemented |