| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(a) | The water temperature in the home could not go beyond 87.8 degree Fahrenheit. | A home shall have hot and cold running water under pressure. | The water temperature in the home consistently reads between 112 and 117 degrees since the inspection. The staff is checking the water temperature daily. All management staff is checking the water temperature no less than weekly. |
07/27/2018
| Implemented |
| 6400.71 | There were no emergency numbers posted by the telephone in the kitchen. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| Emergency phone numbers are now posted by all telephones. The management staff has been instructed to check for emergency phone numbers in all homes, no less than weekly. |
07/27/2018
| Implemented |
| 6400.76(a) | There was lint the size of gulf ball found in the dryer in the basement. | Furniture and equipment shall be nonhazardous, clean and sturdy. | The dryer lint was cleaned on 7/26/18. All staff was trained to keep dryer lint filters clean at all times. Management staff was trained to check all homes for dryer lint and overall cleanliness no less than weekly. |
07/26/2018
| Implemented |
| 6400.110(a) | The smoke detector in the attic was inoperable. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | The heat sensor that was in the home was replaced with smoke detector on 7/27/18. JEVS's alarm company received instruction on licensing regulations and the needs of our homes. Management staff was trained to look for smoke detectors as required by regulation |
07/27/2018
| Implemented |
| 6400.141(c)(4) | Individual #1's current physical exam dated 4/30/18 did not include a vision screening. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | JEVS utilizes "lead staff" "medical resource specialists" and management staff to complete individual medical appointments. These employees have been Instructed on completing appointments according to regulation and ensuring that all paperwork including annual physicals are completed thoroughly and correctly. |
08/30/2018
| Implemented |
| 6400.141(c)(11) | Individual #1's current physical exam dated 4/30/18 did not include an assessment of 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. | JEVS utilizes "lead staff" "medical resource specialists" and management staff to complete individual medical appointments. These employees have been Instructed on completing appointments according to regulation and ensuring that all paperwork including annual physicals are completed thoroughly and correctly. |
08/30/2018
| Implemented |
| 6400.141(c)(14) | Individual #1's current physical exam dated 4/30/18 did not include information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | JEVS utilizes "lead staff" "medical resource specialists" and management staff to complete individual medical appointments. These employees have been Instructed on completing appointments according to regulation and ensuring that all paperwork including annual physicals are completed thoroughly and correctly. |
08/30/2018
| Implemented |
| 6400.168(d) | Staff #1's current medication administration annual practicum was completed on 4/18/17. | A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. | JEVS is training additional management staff to be practicum observers. This training should be done by mid-November. In addition our LMS system is being used to track medication practicums and send alerts to management as staff. |
11/16/2018
| Implemented |