Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | The dresser located in Individual #4 was missing a knob. | Floors, walls, ceilings and other surfaces shall be in good repair. | The knob on this dresser has been replaced as of 03/05/2021. Please see attachment # 5. |
03/05/2021
| Implemented |
6400.67(a) | The dresser in Individual #1 bedroom was missing a knob. | Floors, walls, ceilings and other surfaces shall be in good repair. | The knob on this dresser has been replaced as of 03/05/2021. Please see attachment #6. |
03/05/2021
| Implemented |
6400.77(b) | The first aid kit did not contain scissors and antiseptic. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | The missing scissors and antiseptic has been replaced in the kit as of 03/04/2021. Please see Attachment # 7. |
03/04/2021
| Implemented |
6400.111(f) | The fire extinguisher located in the hallway of the home was last inspected by a fire safety expert on Oct 2019, based on the inspection tag. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | The fire equipment company came out and serviced this fire extinguisher on 03/08/2021. Please see attachment #8. |
03/08/2021
| Implemented |
6400.111(f) | The fire extinguisher in the basement was not approved annually by a fire safety expert, the inspection label was not completed. (it could not be determined when the extinguisher was inspected). | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | The fire equipment company came out and serviced this fire extinguisher on 03/08/2021. Please see attachment #9. |
03/08/2021
| Implemented |
6400.141(c)(12) | On the Annual Physical Examination Form for Individual #1 dated 12/31/2020 the Limitations or restriction portion was left blank. | The physical examination shall include: Physical limitations of the individual. | The Annual Physical Examination form for this individual has been updated with the missing pertinent information as of 04/15/2021. Please see attachment #10. |
04/15/2021
| Implemented |