| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.110(e) | This home has three stories which includes a basement, the smoke detectors on each floor is not interconnected and audible throughout the home. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | The home has smoke detectors on each floor and they have all been tested to confirm connectivity on each floor |
09/30/2022
| Implemented |
| 6400.144 | None of Individual 1's medication was administered as prescribed on 09/20/2022 at 8pm. The MAR was left blank, and the medication was in the blister packs. (Staff stated based on behaviors the individual refused). | 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.
| Staff was retrained to sign the MAR with the letter R signifying a refusal as opposed to leaving the MAR blank |
09/23/2022
| Implemented |
| 6400.217 | There was no signed release of information form found in individual 1's record. | Written consent of the individual, or the individual's parent or guardian if the individual is 17 years of age or younger or legally incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it.
| The release of information form was signed and filed in the individual's book |
09/23/2022
| Implemented |