| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.110(a) | On 8/31/23 at 10:02AM, the smoke detecor on the second floor of the home was inoperable. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | The inoperable smoke detector was made operable on 08/31/2023. A weekly site checklist was created for EIG Management to complete weekly starting the week of 9/18/2023. Management will review any findings with the appropriate direct care staff. Staff also received an updated overview of the information they should review and report daily in relation to the items on this checklist, including smoke detectors. |
09/22/2023
| Implemented |
| 6400.110(e) | On 8/31/23 at 10:02AM, the smoke detector on the second floor of the home was not interconnected with the basement and first floor smoke detectors. | 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 inoperable smoke detector was made operable on 08/31/2023. A weekly site checklist was created for EIG Management to complete weekly starting the week of 9/18/2023. Management will review any findings with the appropriate direct care staff. Staff also received an updated overview of the information they should review and report daily in relation to the items on this checklist, including smoke detectors being operable and interconnected where needed. |
09/22/2023
| Implemented |
| 6400.181(e)(12) | Individual #1's assessment, completed 7/21/2023, does not address recommendations for specific areas of training, programming, and services. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | All of the EIG assessments were revised to include the following information: recommendations for specific areas of training, programming, and services. The assessments will be sent out to the supports coordinators on 9/27/2023 for the updated recommendations to be included in their ISPs. |
09/27/2023
| Implemented |
| 6400.182(c) | Individual #1 has a keypad lock on his bedroom door. The restrictive procedure plan implemented on 10/21/22 for Individual #1 prohibits a lock on his bedroom door. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | The individual's team agreed that Individual #1 was safe to have a lock on his door. The behavior specialist updated his behavioral plan and his restrictive procedure plan to reflect that he is allowed to have a lock on his door. The staff were retrained on his behavioral plan and restrictive procedure plan by the behavioral specialist on 9/15/2023. |
09/15/2023
| Implemented |