Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00137128 Renewal 06/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)On 6/19/18, at approximately 11:15 AM, the first aid kit in the home did not contain tweezers. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Immediately upon inspection the tweezers were replaced in the first aid kit. First aid kits are checked on a monthly basis within the agency. Staff call management to report any use of any items in the first aid kit so a replacement is put in place . [Within 30 days of receipt of the plan of correction, the CEO or designee shall educate all staff persons of the required items in first aid kits as per 6400.77b and the replacement and replenishment procedures to include the location of extra supplies so items can be immediately replaced and replenished as needed to ensure all first aid kits have all required items at all times. At least monthly, a designated staff person shall check all first aid kits and extra supplies to ensure items and be immediately replaced and replenished. Documentation of monthly checks shall be kept. (AS 7/19/18)] 07/09/2018 Implemented
6400.112(a)The "Fire Book" kept at the residence contained a schedule of fire drills for the 2018 calendar year, including the dates and times of fire drills. All staff had access to this schedule. An unannounced fire drill shall be held at least once a month. Upon inspection the fire drill schedules were removed from all apartments. The Program specialist or manager will contact staff the day the drill is to be held and instruct the on the time frame it is to be held. The day after the drill management will go check all documentation to ensure compliance . [Within 30 days of receipt of the plan of correction, the CEO or designee shall educate all staff persons working in community homes of the requirements of fire drills and documentation of fire drills including that fire drill shall be unannounced to all staff and individuals unless the staff person is conducting the fire drill. Documentation of the trainings shall be kept. Documentation of the aforementioned audits of the fire drills by the program specialist shall be kept. (AS 7/19/18)] 07/09/2018 Implemented
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