| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | The water temperature was measured and found to be 137 degrees Fahrenheit. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Values Into Action immediately addressed this issue with Property Management. Due to Property Management not being able to further regulate the water temperature of the Individual's unit, Values Into Action has scheduled a consult with a professional plumber, requesting the faucet valve be adjusted to not allow as much hot water to flow into the applicable area. This is scheduled for 4/20/17. Moving forward, Values Into Action will ensure that water temperatures in these areas do not exceed the 120 degrees by testing water temperature on a quarterly basis at minimum. Team Coordinators have been retrained on this regulation as of 4/17/17. |
04/30/2017
| Implemented |
| 6400.76(a) | There were rough edges on the entertainment center located in the living room | Furniture and equipment shall be nonhazardous, clean and sturdy. | Values Into Action has assisted Individual #2 with picking out a new entertainment center to be purchased by Values Into Action. Moving forward, Values Into Action will ensure that all furniture and equipment is in regulatory compliance by having the Team Coordinators complete quarterly home inspections at minimum. Service & Project Directors will also perform periodic unannounced visits to monitor compliance and assist Team Coordinators and Individuals supported in assessing when it is time to replace equipment and furniture. |
04/06/2017
| Implemented |
| 6400.141(c)(9) | Individual #2's annual physical, dated 6/17/16, did not include a prostate examination. | The physical examination shall include: A prostate examination for men 40 years of age or older. | Values Into Action has been working with Individual #2 to ensure Individual #2's overdue balance is paid to his preferred urology physician's office so that he is able to be scheduled for an updated exam. Values Into Action has recommended to Individual #2 that he have his Primary Care Physician perform the prostate exam for now, to ensure his overall health. Values Into Action will continue to support, educate, and encourage Individual #2 to complete this exam ASAP. All Team Coordinators have been retrained on the Annual Physical Examination regulations and what is required at each annual physical per regulation. |
04/17/2017
| Implemented |
| 6400.141(c)(14) | Individual #2's annual physical examination, dated 6/17/16, did npot include information pertainent to diagnosis in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Values Into Action has updated Individual #2's records to ensure pertinent information is present. A full review of individual records has been completed to ensure compliance across the board. Team Coordinators have been retrained on this regulation standard as of 4/17/17. Moving forward, all Annual Physical Exam's will be provided to the Service Director upon completion for review. If information is missing or incomplete, Service Director will work with the Project Director as needed to ensure additional information is captured by Values Into Action, or the documenting physician as applicable. |
04/06/2017
| Implemented |