Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.61(a) | Individuals living within the home use walkers. The bathroom does not accommodate the use of walkers as the space between the sink and bathtub is too narrow. | A home serving individuals with a physical disability, blindness, a visual impairment, deafness or a hearing impairment shall have accommodations to ensure the safety and reasonable accessibility for entrance to, movement within and exit from the home based upon each individual's needs. | The Shadowfax been direct to follow plan of correction from the previous month and send documentation that this issues has been fixed. |
05/28/2019
| Implemented |
6400.64(a) | A baseball sized amount of lint was found in the dryer trap. | Clean and sanitary conditions shall be maintained in the home. | The Shadowfax been direct to follow plan of correction from the previous month and send documentation that this issues has been fixed. |
05/15/2019
| Implemented |
6400.181(a) | A current assessment was not located on site for individual # 1. The most recent assessment is dated 02/16/18. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | The Shadowfax been direct to follow plan of correction from the previous month and send documentation that this issues has been fixed. |
05/28/2019
| Implemented |