| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.31(c) | Individual #1 was not informed of the following rights: right to receive scheduled and unscheduled visitors, communicate, associate and meet privately with family and persons of the individual¿s own choice; right to unrestricted mailing privileges; and right to practice the religion or faith of the individual's choice. | Each individual shall be encouraged to exercise his rights. | The Individual Rights Statement was updated on 4/10/14 to include information pertaining to individual rights surrounding scheduled and/or unscheduled visitors, unrestricted mailing privileges, practice of religion or faith of the individual¿s choice and communication, association and/or private meetings with family and persons of the individuals own choice. The signed revised Individual Rights Statement for individual #1 will be submitted as confirmation of WRC¿s compliance with regulatory requirements. The revised Individual Rights Statement shall continue to be used to inform participants of their rights upon admission and annually thereafter. |
04/10/2014
| Implemented |
| 6400.80(b) | The garage door attached to the lower left side of the home has a significant amount of peeling paint. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | WRC Maintenance scrapped and repainted the entire garage door attached to the lower left side of the home; before and after photographs will be submitted as confirmation of rectification of violation. |
05/02/2014
| Implemented |
| 6400.163(c) | The medication review dated 12-2-13 for individual #1's psychiatric medication does not contain a reason for prescribing the medication. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | A diagnosis/reason for use has been added to the medication review of individual #1 dated 12/2/13. The updated Appointment Verification Form will be submitted as confirmation of rectification of violation. In an effort to avoid further occurrence of this violation WRC staff will be retrained on the Appointment Verification Form, as well as regulations pertaining to documentation surrounding medications prescribed to treat psychiatric illness. |
06/01/2014
| Implemented |
| 6400.168(d) | The following staff last received initial or annual practicum training on the following dates: #1 on 7-29-12; #2 on 3-25-13; and #3 on 12-26-12. | A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. | [Staff received initial certification on 8/18/11. Staff received first annual practicum training on 7/29/12. Staff received second annual practicum training on 8/8/13. MAR reviews were completed for staff in December of 2012 and March of 2013. The Student Certification Form and Student Examination Data Summary Sheet will be submitted as confirmation of WRC's compliance with regulatory requirements. (CHG 5/29/14)] |
05/29/2014
| Implemented |
| 6400.186(a) | A quarterly review for Individual #1 was completed on 4-27-13. The next quarterly review was completed on 9-18-13. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. | A Quarterly Review was completed for individual #1 on 4/27/13. The next Quarterly Review was actually completed on 8/27/13, but the individual¿s signature was not obtained until 9/18/13; this document will be submitted as confirmation of WRC¿s compliance with regulations, however, WRC Program Specialists will also be retrained to obtain the individuals signature on the actual date of the Quarterly Review. [Quarterly reviews will be completed at least one time every three months. (CHG 5/29/14)] |
05/23/2014
| Implemented |