| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | The hallway closet which does not lock, has an exposed access panel with water and/or heating pipes. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Plan to Fix the immediate problem: Maintenance request was placed through RMPC protocol to Sr Executive on 4/14/23 requesting the panel be secured. Panel was secured on 3/29/23 |
03/29/2023
| Implemented |
| 6400.111(c) | The fire extinguisher in the kitchen is a 1-A-10-B-C, which is smaller than the 2-A10BC minimum required size. | A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). | Plan to Fix the immediate problem: An extinguisher with a minimum of 2A-10BC rating was purchased and placed in the home on 3/29/23 |
03/29/2023
| Implemented |
| 6400.144 | Individual #2's ISP states that their blood sugar and blood pressure is to be tested regularly, but this is not being done. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| Plan to Fix the immediate problem: ISP was reviewed and the information stating that blood sugar and blood pressure testing occurs regularly was listed under ¿History¿ as these were tasks being completed by his father in previous years. The plan was reviewed and did not have this information listed under any current day information |
03/29/2023
| Implemented |
| 6400.216(a) | Individual program books are being stored in an unlocked desk in the living room. | An individual's records shall be kept locked when unattended.
| Plan to Fix the immediate problem- Program books in the home were placed in a locked drawer in the ¿office area¿ of the home and will be kept there when not in use. |
03/29/2023
| Implemented |
| 6400.163(d) | The medication is being stored in a file cabinet in the living room that does not securely lock. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | Plan to Fix the immediate problem- Medications were placed in the bottom drawer and were securely locked. The drawer stays closed with no gaps when attempting to be opened while locked. The medications were secured and inaccessible |
03/29/2023
| Implemented |
| 6400.163(h) | Prescription medication, Risperidone tablet 2 mg which expired on 3/11/23, was still being stored in the medication cabinet. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | Immediate plan to fix violation: Medication was discarded on 3/28/23 by Program Specialist. |
03/28/2023
| Implemented |