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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | There is not a screen in Individual #1's bedroom window. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | A proper size screen was put in the window to bring the violation into compliance. Please see attached photos. |
10/17/2022
| Implemented |
| 6400.107 | On 10/13/2022, at 12:57PM, an XPOWER P-230 Air Mover that heats to 180F was on the floor inside the second bedroom of the home. | Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms.
| The Heater was removed |
10/17/2022
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.46(i) | Direct Service Worker #1's first aid/cardio-pulmonary resuscitation training expired on 6/14/15. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. | RMPC CAP is that a master excel spreadsheet was created which includes: hire date, start date, I.D. expiration date, Physical expiration date, TB expiration date, CPR expiration date, if applicable, insurance and registration expiration date. This job responsibility is that of the administrative assistant but shall be monitored by the Compliance Officer on a monthly basis. [Direct Service Worker #1 had CPR/FA training on 9/29/15. Documentation of the monthly reviews of the aforementioned spreadsheet will be maintained to ensure completion and updates and that all staff have up to date trainings as required. (AS 6/27/16)] |
05/22/2016
| Implemented |
| 6400.151(a) | Direct Service Worker #1 two most recent physical examinations were completed on 6/12/13 and 7/21/15. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | RMPC CAP is that a master excel spreadsheet was created which includes: hire date, start date, I.D. expiration date, Physical expiration date, TB expiration date, CPR expiration date, if applicable, insurance and registration expiration date. This job responsibility is that of the administrative assistant but shall be monitored by the Compliance Officer on a monthly basis.[Immediately, CEO or designated staff person will review all staff person's most recent physical examination to ensure timely completion. Within 60 days of receipt of the plan of correction, CEO or designated staff person will develop and implement a procedure to ensure staff person are notified timely to allow for timely completion of physical examinations. Documentation of monthly monitoring of the tracking system shall be kept and reviewed by the CEO at least quarterly to ensure staff person are have physical examinations within the required timeframes. (AS 6/27/16)] |
05/22/2016
| Implemented |
| 6400.151(c)(2) | Direct Service Worker #1 two most recent Tuberculin skin testing by Mantoux were completed on 6/14/13 and 7/25/15. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | RMPC CAP is that a master excel spreadsheet was created which includes: hire date, start date, I.D. expiration date, Physical expiration date, TB expiration date, CPR expiration date, if applicable, insurance and registration expiration date. This job responsibility is that of the administrative assistant but shall be monitored by the Compliance Officer on a monthly basis. [Immediately, CEO or designated staff person will review all staff person's most recent physical examination including Tuberculin skin testing to ensure timely completion. Within 60 days of receipt of the plan of correction, CEO or designated staff person will develop and implement a procedure to ensure staff person are notified timely to allow for timely completion of physical examinations including Tuberculin skin testing. Documentation of monthly monitoring of the tracking system shall be kept and reviewed by the CEO at least quarterly to ensure staff person are have physical examinations including Tuberculin skin testing within the required timeframes. (AS 6/27/16)] |
05/22/2016
| Implemented |
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