| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | There were black substances consistent with grease on the oven in the kitchen. | Clean and sanitary conditions shall be maintained in the home. | The oven was cleaned on July 27th 2018. The staff at the home received instruction to keep the oven and all surfaces clean and sanitary at all times. The management staff was instructed to check the homes for cleanliness no less than weekly. |
07/27/2018
| Implemented |
| 6400.64(b) | There were ants on the kitchen table. | There may not be evidence of infestation of insects or rodents in the home. | The home was exterminated on 8-3-18. The home has been free of insect infestation since then. JEVS managers and staff have been instructed to inform JEVS' facilities manager immediately after noticing insect infestation of any kind. |
08/03/2018
| Implemented |
| 6400.144 | Clotrimazole 1% cream prescribed for Individual #1 was not available to be administered. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| JEVS has retrained management staff to check medication administration records no less than weekly. In addition, the wellness staff will check medication administration records no less than monthly to ensure that medication is logged correctly. Staff is being trained to use paper MAR if JEVS' electronic MAR fails for any reason. |
08/23/2018
| Implemented |
| 6400.164(b) | Clorythronycin 500 mg prescribed for Individual #1 was not logged as administered on 7/4/18, 7/5/18 7/6/18 and 7/10/18. | The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. | JEVS has retrained management staff to check medication administration records no less than weekly. In addition, the wellness staff will check medication administration records no less than monthly to ensure that medication is logged correctly. Staff is being trained to use paper MAR if JEVS' electronic MAR fails for any reason. |
08/23/2018
| Implemented |
| 6400.168(a) | Staff #1 administered medication to Individuals, however did not complete the Department's medication administration training as required. The staff did not complete the two onsite observation process. | In a home serving eight or fewer individuals, a staff person who has completed and passed the Department's Medications Administration Course is permitted to administer oral, topical and eye and ear drop prescription medications. | JEVS has begun to train all new management staff to be practicum observers. JEVS has trained all management staff to track all DSP staff and ensue they received two onsite observations before passing medication |
08/23/2018
| Implemented |