| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | On 8/31/2023 at 10:23AM, Diphenhydramine HCL 25mg, with instructions to take every 4-6 hours, or as directed by a doctor was unlocked and accessible in the first aid kit on top of the refrigerator in the kitchen of the home. Individual #1 and Individual #2 are assessed to be unable to self-administer medications. At 10:25AM, a one-quart spray bottle of Spic and Span Antibacterial Cleaner and a 23 fluid ounce spray bottle of Windex and Lysol Disinfecting Wipes were unlocked and accessible to the individual in the closet near the kitchen of the home. Individual #1's Individual Support Plan, last updated 8/10/2023, states, "the team believes that the individual would ingest any poisonous substances and cleaning products are kept in a locked closet in her residential setting." | Poisonous materials shall be kept locked or made inaccessible to individuals. | 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. |
09/22/2023
| Implemented |
| 6400.66 | On 8/31/2023 at approximately 10:34AM, Individual #1's bedroom contained a lamp, which was not assembled nor plugged in. There was not another source of light in Individual #1's bedroom. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| 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. |
09/22/2023
| Implemented |
| 6400.186 | Individual #1's Restrictive Procedure Plan was updated on 7/20/2023, stating that individual #1 is unable to have access to sharp objects, knives, or tasers. On 8/31/2023, at approximately 10:27AM, there were scissors unlocked and accessible in the drawer to the left of the stove in the kitchen of the home. | The home shall implement the individual plan, including revisions. | 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. |
09/22/2023
| Implemented |