| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.45(e) | On 8/19/23 Direct Services Worker (DSW) #1 left individual #1 unsupervised in a vehicle outside of DSW #1's personal residence for a period of time solely for the convenience of DSW #1. | An individual may not be left unsupervised solely for the convenience of the home or the direct service worker. | On 8/24/2023 DSW#1 was interviewed by Program Specialist ( FM ) on the events of 8/19/2023. DSW#1 stated he stopped at his residence and left the individual unattended in the agency vehicle while getting his phone charger. Program Specialist at this terminated the employment of DSW#1 for violation of company policy.
On 9/28/2023 - All staff operating agency vehicles were retrained on the Transportation/Vehicle Policy. |
09/26/2023
| Implemented |
| 6400.186 | Individual #1's Individual Support Plan, last updated 7/28/23, states that "[Individual #1] should be within line of sight of staff at all times." On 8/23/23 the awake overnight staff did not maintain line of sight supervision with Individual #1 by allowing them to close their bedroom door. Individual #1 exited the home through a bedroom window. | The home shall implement the individual plan, including revisions. | On 9/18/2023 staff was re-trained on Individual #1's ISP and the definition of "Line of Site". The staff will maintain "Line of Site" during awake hours as well as asleep hours. |
09/26/2023
| Implemented |
| 6400.195(a) | On 8/26/23 the agency removed the bedroom door of Individual #1 as part of a restrictive procedure. The agency failed to ensure that the restrictive procedure was written and approved by the human rights team prior to use of the restrictive procedure. | For each individual for whom a restrictive procedure may be used, the individual plan shall include a component addressing behavior support that is reviewed and approved by the human rights team in § 6400.194 (relating to human rights team), prior to use of a restrictive procedures. | On 8/29/2023 the door of individual #1's bedroom was put back on. HNA with the direction of Beaver County removed the door on 8/26/2023 with impression the removal of the door would not be restrictive due to the ISP stating individual #1 must in in "Line of Site" thus forfeiting privacy behind closed doors. |
09/27/2023
| Implemented |