Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.66 | No light outside the door off the kitchen side egress. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Outside light installed above outside doorway to meet regulation 6400.66. Compliance Coordinator will ensure all homes have lights to meet regulation 6400.66 when conducting house checks. Any violations will be reported to safety committee and maintenance to have lighting installed. |
02/25/2020
| Implemented |
6400.141(c)(3) | Individual #1's physical 6/17/19 did not include the immunizations for individuals 18 years of age or older as recommended by the United States Public Health | 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. | LSS Wellness Coordinator is responsible to attach the individual's immunization record to the physical form prior to the individual's physical. This will remain attached to the physical and be placed in the individual's record. Policy created in which Wellness Coordinator and Compliance Coordinator will review all individual's annual physical examination form upon submission from the group home ensuring the physical examination form is filled out fully and in compliance with regulation 141 (c)(3) to include immunization record. LSS Executive Program Director will conduct a final review once the Wellness Coordinator, Program Specialist and Compliance Coordinator review the physical form.Executive Program Director will initial the appointment summary/physical when regulation is met. Wellness Coordinator and Compliance Coordinator have been trained on policy by Executive Program Director. |
03/02/2020
| Implemented |
6400.141(c)(11) | Individual #1's physical 6/17/19 did not include an assessment of the individual's health maintenance needs. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | Policy created in which Wellness Coordinator and Compliance Coordinator will review all individual's annual physical examination form upon submission from the group home ensuring the physical examination form is filled out fully and in compliance with regulation 141 (c)(11). Once it is verified by Wellness Coordinator and Compliance Coordinator that the regulation has been met, both will sign off on the verification form. LSS Executive Program Director will conduct a final review once the Wellness Coordinator, Program Specialist and Compliance Coordinator review the physical form. LSS Executive Program Director will initial the appointment summary/physical when regulation is met. Wellness Coordinator and Compliance Coordinator have been trained on policy by Executive Program Director. |
03/02/2020
| Implemented |