| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.71 | The telephone numbers of the nearest police department, fire department and ambulance were not on or by the telephone in the living room of the home. | 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. | 911 was posted at the home. Now all departments¿ phone numbers are posted. FLP and PS trained in regulation 6500.71[Training attendance documentation was submitted to the department.(AS 7/14/15)] |
07/10/2015
| Implemented |
| 6500.121(c)(7) | Individual #1's most recent gynecological examination was completed on 10/09/2014. The previous examination was completed on 07/16/2013. | The physical examination shall include: A gynecological examination, including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. | Gynecology exam will be completed annually. PS will complete spreadsheet that is reviewed monthly in regards to when all appointments are due. PS and family living provider trained in regulation 6500.121(c)(7)[Training attendance documentation was submitted to the department.(AS 7/14/15)] |
07/10/2015
| Implemented |
| 6500.121(c)(14) | The physical examination for Individual #1 completed on 6-20-14 did not include medical 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. | Physical exam was updated/revised to include medical information pertinent to diagnosis and treatment in case of emergency. PS and FLP were trained in regulation 6500.121 (c)(14)[A Blank Annual Physical Examination form and Training attendance documentation was submitted to the department.(AS 7/14/15)] |
07/09/2015
| Implemented |
| 6500.122(a) | Individual #1's most recent dental examination was completed 05/19/2014. | An individual 17 years of age or younger, shall have a dental examination performed by a licensed dentist semiannually. Each individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | Dental exam was completed on 6/4/15. This was first appointment available. PS will document this in file when it is going to be over 1 year. All dental exams will be completed annually. . PS will complete spreadsheet that is reviewed monthly in regards to when all appointments are due. PS and family living provider trained in regulation 6500.122(a)[Training attendance documentation was submitted to the department.(AS 7/14/15)] |
07/10/2015
| Implemented |
| 6500.151(f) | The program specialist did not provide the assessment to the plan team members for Individual #1 completed on 3-6-15 for the ISP meeting held on 4-8-15. | The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development of the ISP, the annual update, and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP). | Assessment was sent but there was no written verification of doing so. PS will email copy and save receipt of doing so and file. Form was also updated/revised to add a line stating when and who it was mailed out to. PS was trained in regulation 6500.151(f)[Training attendance documentation was submitted to the department.(AS 7/14/15)] |
07/10/2015
| Implemented |
| 6500.182(c)(6)(ii) | Individual #1's record did not include a copy of the invitation letter to the annual update meeting held on 04/08/2015. | Each individual's record must include the following information: A copy of the invitation to: The annual update meeting. | Individual file had invite from meeting but one from Pressley ridge. Program specialist will be responsible to ensure that state invite is in the file. If not received by supports coordinator he will document attempts to get this from them and file that. Program specialist was trained on regulation 6500.182(c) (6)(ii)[Training attendance documentation was submitted to the department.(AS 7/14/15)] |
07/10/2015
| Implemented |
| 6500.182(c)(7)(ii) | Individual #1's record did not include a copy of the signature sheet for the annual update meeting completed on 04/08/2015. | Each individual's record must include the following information: A copy of the signature sheet for: The annual update meeting. | Individual file had signature page from meeting but one from Pressley ridge. Program specialist will be responsible to ensure that state invite is in the file. If not received by supports coordinator he will document attempts to get this from them and file that. Program specialist was trained on regulation 6500.182(c) (7)(ii) |
07/10/2015
| Implemented |