| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(c) | Poisonous materials shall be stored in their original, labeled containers. At the time of inspection, located in the main bathroom sink was a black decorative hand soap dispenser. The black decorative hand soap dispenser contained a clear liquid inside of it when the hand soap dispenser was pumped by the licensing representative. | Poisonous materials shall be stored in their original, labeled containers. | Program Managers and Program specialist were re-educated on the requirement for ALL poisonous substances to remain in the original container. |
09/19/2023
| Implemented |
| 6400.141(c)(14) | Individual #1's physical examination dated 1/4/23 did not include medical information pertinent to diagnosis and treatment in case of an emergency as this section of the examination was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Program Specialist will review all annual physicals before they are uploaded to agency eHR. If any information is missing the physician will be contacted. |
09/09/2022
| Implemented |
| 6400.144 | Individual #1 is prescribed EQ Pain Reliever 500 Mg caplet, take 1 tablet as needed every 6 hours while symptoms last, do not take more than 6 tablets in 24 hours. The medication was not in the home at the time of inspection. | 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.
| The medication was purchased the day of licensing and is now on site and available for individual #1. |
08/28/2023
| Implemented |