| 6400.103 | The emergency evacuation plan has the language that the individuals will be transported "to the nearest LSS site/group home. If that is not an option, staff and individuals will be transported to the closest hotel in the area. Emergency evacuation plan must include specific location to which individuals will be evacuated. A second evacuation document in the record included the following language: As a temporary site, individuals of this residence are to be transported by an agency vehicle or staff member's personal vehicle to the nearest safe agency home. If that is not an option, staff and individuals should be transported to either the Comfort Inn or the Cottage Motel, both of which are located in Ebensburg. | There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location.
| ¿ What we did to correct?
o LSS revised #8 of its Emergency Disaster Plan to be more specific in regards where the consumers report to if unable to report back to their residence.
o Individuals will review the revised Emergency Disaster Plan Procedures verified with signatures.
¿ How to prevent?
o LSS Compliance Coordinator will ensure to specify in each home plan the exact temporary location address the consumers are to report to as well as the exact back-up hotel address.
o LSS management personnel will be trained on LSSs Central Region Corrective action plan.
¿ Implementation date of correction?
o June 4th, 2021.
¿ Who is responsible for each step?
o LSS Compliance Coordinator
o LSS Program Specialist.
o LSS Corporate Compliance Coordinator & Executive Program Director for training on CAP. |
06/04/2021
| Implemented |
| 6400.145(1) | The Emergency Medical Plan for Individual #1 and Individual #2 does not list their hospital of choice. The Emergency Medical Plan lists the following three hospitals: Conemaugh Memorial Medical Center, Miner's Medical Center, and UPMC. The plan states that the hospital is pending; consumer's choice. | The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. | ¿ What we did to correct?
o LSS Wellness Coordinator (WC) will consult with consumers and/or legal guardians asking their hospital preference followed by revising medical plan accordingly.
¿ How to prevent?
o The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency.
o LSS management personnel will be trained on LSSs Central Region Corrective action plan.
¿ Implementation date of correction?
o June 4th, 2021.
¿ Who is responsible for each step?
o LSS Wellness Coordinators
o LSS Corporate Compliance Coordinator & Executive Program Director for training on CAP. |
06/04/2021
| Implemented |