Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(a) | Poisons must be locked in the home. The following was unlocked in the main bathroom in the sink drawers and under the sink: Oceanmist handsoap, Moisture barrier ointment, Ultra Brite toothpaste, Ave deodorant, Speed Stick x2, Degree x2 | Poisonous materials shall be kept locked or made inaccessible to individuals. | Agency will correct the immediate issue. Agency will review the issue for violation and correct. Then agency will train all staff on the violation. Program specialist will review monthly and supervisor will review quarterly and complete tracking form. |
12/31/2018
| Implemented |
6400.67(a) | Individual # 1 bathroom right side of the shower bottom wall is scrapped and needs painted. | Floors, walls, ceilings and other surfaces shall be in good repair. | Agency will correct the immediate issue. Agency will review the issue for violation and correct. Then agency will train all staff on the violation. Program specialist will review monthly and supervisor will review quarterly and complete tracking form. |
12/31/2018
| Implemented |
6400.81(k)(6) | No mirror in Individual # 2's bedroom. | In bedrooms, each individual shall have the following: A mirror. | Agency will correct the immediate issue. Agency will review the issue for violation and correct. Then agency will train all staff on the violation. Program specialist will review monthly and supervisor will review quarterly and complete tracking form. |
12/31/2018
| Implemented |
6400.181(e)(10) | Individual # 3's Assessment was completed 2/1/2018 and his LMH was last updated 12/8/2016. | The assessment must include the following information: A lifetime medical history. | Agency will correct the immediate issue. Agency will review the issue for violation and correct. Then agency will train all staff on the violation. Program specialist will review monthly and supervisor will review quarterly and complete tracking form. |
12/31/2018
| Implemented |