Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(c) | There was a bottle of cleaner in the cabinet under the kitchen sink that was not in its original labeled container. | Poisonous materials shall be stored in their original, labeled containers. | Agency Trainer will send out a memo explaining that poisons must be stored in their original containers to minimize the possibility that an individual or staff person will be harmed by exposure to or consumption of poisonous materials. |
04/01/2024
| Implemented |
6400.77(c) | At the time of the inspection, the first aid kit did not contain a pair of scissors. | A first aid manual shall be kept with the first aid kit. | Scissors were returned to the first aid kit. Due to the individual having a restrictive plan, the first aid kit with the scissors present were locked up. |
04/01/2024
| Implemented |
6400.144 | Individual #1 is on an approved dietary restrictive plan that requires all food to be locked. At the time of the inspection, there was a loaf of bread being stored in an unlocked bread bin. | 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.
| All staff assigned to that home will be retrained in the individual's Restrictive plan before March 1, 2024, , Behavior Specialist. The Behavior Specialist will explain the importance of locking up the food as additional food consumption could directly affect the individual's medical plan such as length of time at dialysis. |
04/01/2024
| Implemented |