Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00159812 Renewal 07/10/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(c)(2)Staff #1 had a TB test on 1/10/2019. Results of his TB test were not on his physical exam. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. Staff #1 did have a TB test. The results were not indicated on the physical, they were indicated a separate document. When the staff returned to have their TB read, they did not have the original physical form. The form was turned into Human Resources. Prior to the start date of employment all employees will have their TB test completed, this includes the final reading. The reading will be documented on the appropriate physical form, unless the licensed medical professional choses to use an alternative method. In this case the alternative method of documentation will be attached to the physical. It is the responsibility of the Human Resources Recruiter to ensure initial compliance and the Human Resources Generalist thereafter. 08/14/2019 Implemented
6400.151(c)(3)This section was blank on Staff #1's physical exam dated 1/10/2019. The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. Staff #1 did have a completed physical. However, the signed statement on the physical form indicating the staff person is free of communicable diseases was not completed and signed. This was not signed because the staff member had their TB test read and did not have a copy of the initial physical with them, the licensed medical professional was unable to verify on the initial physical form because it was not present. Once compiled the licensed medical professional was able to verify that staff #1 is free of communicable diseases. An updated physical was entered into staff #1's employee record. It is the responsibility of the Human Resources Recruiter to ensure initial compliance and the Human Resources Generalist thereafter. 08/16/2019 Implemented
SIN-00137945 Initial review 07/12/2018 Compliant - Finalized