Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.121(c)(5) | Individual #1's most recent physical examination, dated 01/05/2023, did not contain immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control. | The physical examination shall include: Immunizations and screening tests for individuals 17 years of age or younger, as recommended by the Standards of Child Health Care of the American Academy of Pediatrics, Post Office Box 1034, Evanston, Illinois 60204. | A copy of Individual #1¿s PA Child lifetime medical, which includes immunizations will be attached to each physical form prior to individual going to the physician to ensure that immunizations will be reviewed and included in each physical exam. |
01/24/2024
| Implemented |
6500.121(c)(6) | Individual #1's two most recent Mantoux tests occurred on 06/08/2023 and 05/12/2021. The interim between these two dates exceeds the 2-year timeframe requirement. | Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted. | A tracking sheet was developed for each individual to keep track of appointments, due dates and follow ups. |
01/22/2024
| Implemented |
6500.133(d) | At the time of inspection, Individual #1's medications were found unlocked on top of a countertop in the home's kitchen. Individual #1 is self-medicating; however, a self-medicating individual's medications must either be locked or stored in the in the individual's private bedroom or with the individual's personal belongings. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | Individual #1¿s medications have been moved to his personal bedroom. |
01/22/2024
| Implemented |