Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00103953 Renewal 09/13/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.125(c)(1)Staff #1 recently moved into the home on 5/1/15. No tuberculin skin test was completed. The physical examination shall include: (1) A general physical examination.(2.) Tuberculin skin testing by Mantoux method with negative results every 2 years for family members 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or licensed practical nurse instead of a licensed physician. (3.)A signed statement that the person is free of communicable diseases or specific precautions to be taken if the person has a communicable disease. (4.)Information of medical problems which might interfere with the health of the individuals.Plan of Correction: In order to address the violation listed above, PDSI implemented the following: PDSI hired a Director of Family Living, Samantha Gatto, who started 10/17/2016. (Attachment #4). She will be responsible (as a second set of eyes in conjunction with the Family Living Specialist) for tracking due dates for programming and medical documentation for all family living individuals. Kristy Meyer, Vice President of Quality Management, revised the Primary Book Review Form to correspond with Family Living Regulations (Attachment #8). This document will be utilized by the Family Living Specialist and/or the Director of Family Living at least quarterly. The Program Specialists and FLP Director were trained on the Primary Book Review Form by Kristy Meyer, Vice President of Quality Management on 11/28/2016 (Attachment #9). Validation: Primary Book Review Forms were completed for all FLP individuals (Attachment #10). 12/09/2016 Implemented
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