| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(d)(1) | Individual #1's assessment indicates that the individual is unable to count money or make change, budget money, protect and care for the individual's personal property, handle money discretely in public and is unable to handle any amount of money without producing a receipt. It further indicates that the individual is able to recognize the need for money but is not able to comprehend that money is limited or that the cost of certain items is not within his budget. Individual #1's Individual Service Plan does not indicate that the individual is capable of managing money or personal property. Individual #1 receives $30 weekly in two separate increments from The Advocacy Alliance. Staff transport the individual to the bank to cash the checks upon receipt and provide the individual with the money for spending purposes. The home does not maintain an up to date financial and personal property record for the individual that includes personal possession and funds received by or deposited with home. | The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. | A New Direction What¿s Next has updated Individual #1¿s assessment to indicate that the individual is able to handle up to $15, via cash or debit card, without producing receipts. Please note, individual #1 receives $15, deposited two times per week to a debit card, NOT $30 twice per week as indicated on the plan of correction. Updated assessment was forwarded to Individual #1¿s Supports Coordinator on August 2, 2022 and revisions to the Individual Support Plan were requested to reflect the updated individual assessed needs. A New Direction What¿s Next has also created an Individual financial and property record which is maintained in Individual #1¿s home effective August 1, 2022. |
08/31/2022
| Implemented |
| 6400.22(e)(1) | Individual #1's assessment indicates that the individual is unable to count money or make change, budget money, protect and care for the individual's personal property, handle money discretely in public and is unable to handle any amount of money without producing a receipt. It further indicates that the individual is able to recognize the need for money but is not able to comprehend that money is limited or that the cost of certain items is not within his budget. Individual #1's Individual Service Plan does not indicate that the individual is capable of managing money or personal property. Individual #1 receives $30 weekly in two separate increments from The Advocacy Alliance. Staff transport the individual to the bank to cash the checks upon receipt and provide the individual with the money for spending purposes. The home does not maintain a separate record of financial resources, including the dates and amounts of deposits and withdrawals. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: A separate record of financial resources, including the dates and amounts of deposits and withdrawals. | A New Direction What¿s Next has created an individual financial and property record, which is maintained in Individual #1¿s home effective August 1, 2022. The financial and property record specifically details receipt of funds and expenses, with all receipts for purchases exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person, attached to the record. |
08/01/2022
| Implemented |
| 6400.22(e)(2) | Individual #1's assessment indicates that the individual is unable to count money or make change, budget money, protect and care for the individual's personal property, handle money discretely in public and is unable to handle any amount of money without producing a receipt. It further indicates that the individual is able to recognize the need for money but is not able to comprehend that money is limited or that the cost of certain items is not within his budget. Individual #1's Individual Service Plan does not indicate that the individual is capable of managing money or personal property. Individual #1 receives $30 weekly in two separate increments from The Advocacy Alliance. Staff transport the individual to the bank to cash the checks upon receipt and provide the individual with the money for spending purposes. The home does not maintain a record that funds were directly given to the individual. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: For a withdrawal when the individual is given the money directly, the record shall indicate that funds were given directly to the individual. | A New Direction What¿s Next has created an individual financial record and property record, which is maintained in Individual #1¿s home effective August 1, 2022. |
08/01/2022
| Implemented |
| 6400.64(a) | The basement floor contained an area of a green mold like substance. It was unclear what the substance was. The area was approximately 12inches by 18 inches in the middle of the room. | Clean and sanitary conditions shall be maintained in the home. | A New Direction What¿s Next cleaned the green mold-like substance off of the basement floor effective July 19, 2022. |
07/19/2022
| Implemented |
| 6400.80(b) | There was an old washing machine located on the back deck of the home. Staff indicated that the washing machine had been on the deck since at least May. The grounds are not maintained. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | A New Direction What¿s Next removed the old washing machine from the back deck of the home effective July 19, 2022. |
07/19/2022
| Implemented |
| 6400.144 | Individual #1 had an appointment on 12/23/21 at Willis Eye following eye surgery with a recommendation to return in one week. The individual was not seen at the appointment on 12/30/21 as the house supervisor forgot about the appointment. The appointment was rescheduled upon staff becoming aware of the missed appointment. | 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.
| The employee responsible for Individual #1¿s missed appointment at Wills Eye Hospital is no longer employed by the agency. |
08/31/2022
| Implemented |
| 6400.163(a) | Individual #1 is prescribed Dorzolamide Timolol, instill 1 drop into the right eye 2 times daily at 8am and 8pm. The bottle that was located in the medication box contained a pharmacy label that was dated 1/6/22 and the box contained a separate label that was dated 2/14/22. There was not a medication bottle with a label dated 2/14/22 or a box for the bottle dated 1/6/22. | Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy. | New bottle of Individual #1¿s prescribed Dorzolamide Timolol was received on July 18, 2022. Medication is now being maintained in its original labeled container. |
08/01/2022
| Implemented |
| 6400.163(h) | Prescription medications that are expired are not being destroyed in a safe manner according to Federal and State statues and regulations. Individual #1 is prescribed Acetaminophen 500mg Cap-take 1 tablet by mouth every 6 hours as needed for pain/mild fever. This medication expired on 6/21/21 and remained with the individual's medications. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | Expired Acetaminophen 500 mg capsules were removed from the home on 7/18/2022 and were returned to the pharmacy for destruction. |
07/18/2022
| Implemented |