| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The trash receptacle located in the bathroom was overflowing with trash.
A glue trap for insects and rodents was found in the lower bathroom cabinet next to the individual's toothbrush and other personal care items. | Clean and sanitary conditions shall be maintained in the home. | QLHS has corrected the violation. The trash can have been emptied and the glue trap for insects has been removed. the landlord will be called to have an exterminator to fumigate the home on a monthly basis |
| Implemented |
| 6400.106 | The most recent furnace inspection and cleaning occurred on 4/12/2021. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| QLHS FURNACE WAS INSPECTED BY APCAR OIL WE HAVE THE DOCUMENTATION TO SHOW INSPECTION WAS COMPLETED. |
09/08/2022
| Implemented |
| 6400.141(c)(14) | The annual physical examination that occurred on 2/28/2022 for Individual #1 did not document medical information pertinent to diagnosis and treatment win case of emergency. This area was left blank on the physical examination form. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | QLHS TEAM LEAD AND THE DESIGNATED PERSON REVEIW THE PHYSICAL FORM BEFORE LEAVING THE DOCTORS OFFICE TO ENSURE THAT THE PHYICAL FORM IS FILLED OUT IN IT'S ENTIRETY. |
09/09/2022
| Implemented |
| 6400.144 | Individual #1 is prescribed Albuterol Solution, 2.5mg./3ml.; use 1 vial in nebulizer every 6 hours as needed for wheezing. At the time of the inspection, the Albuterol was not in the home and the individual did not have a nebulizer. | 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.
| QLHS designated person has reordered individual 1 Albuterol Solution and her nebulizer. due to the individual insurance not covering it the pharmacy was trying to get in contact with individual 1 doctor. |
09/09/2022
| Implemented |
| 6400.171 | There were two bottles of sugar-free pancake syrup found stored on a shelf in the basement. The expiration date on both bottles of syrup was 10/15/2020. | Food shall be protected from contamination while being stored, prepared, transported and served.
| LWHS WILL RETRAIN STAFF ON FOOD PREPARATION AND DISPOSIL OF FOOD. THE FLOOR HAS BEEN DISPOSED OF. |
09/09/2022
| Implemented |
| 6400.32(r) | Individual #1 does not have a lock on their bedroom door. The Individual's current Individual Support Plan, Behavior Support Plan and Assessment do not address bedroom door locks. There is no documentation that the individual has refused a door lock or that the Team has determined that a bedroom door lock would be unsafe for the individual. | An individual has the right to lock the individual's bedroom door. | QLHS WILL HAVE A MEETING TO DISCUSS THE INDIVIDUAL HAVING A LOCK ON THE DOOR DUE TO HEALTH AND SAFETY NEEDS. |
09/09/2022
| Implemented |
| 6400.163(g) | A tube of bactroban ointment was found stored in the medication box without a cap, exposed to air and contaminants, and there were several hairs stuck to the neck of the tube. | Prescription medications shall be stored in an organized manner under proper conditions of sanitation, temperature, moisture and light and in accordance with the manufacturer's instructions. | QLHS HAS REMOVED THE MEDICATION AND REQUISTED NEW OINTMENT AND STAFF WILL BE RETRAINED ON HOW TO STORE THE INDIVIDUALS'. MEDICATIONS . |
09/13/2022
| Implemented |
| 6400.163(h) | Two tubes of the topical medication gentamycin sulfate cream were found in the medication box without a pharmacy label, and the medication was not listed on the current Medication Administration record (Mar). Staff stated that the medication had been discontinued but was not disposed of as of the time of the inspection. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | QLHS HAS CORRECTED THE VOILATION BY CALLING THE PHARMACY TO DISPOSE OF THE MEDICATION AND CHANGE THE MARS. |
07/09/2022
| Implemented |