| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(e)(3) | There was no itemized expense record for a transaction amount of $1108.00 for rent on 12/23/19 in the bank statement for individual 1. Room and board amount is 570.31. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. | Moving forward Olalus will separate and retain itemize record of expenses as it relates to the individual finances. Reconds of all expenses and receipts will be maintain. Record of room and board and rent for records shall be maintained and separated. |
03/01/2020
| Implemented |
| 6400.66 | The living area did not have a light fixture at the time of physical site review. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. | Light fixture has been placed in the living room. Moving forward, Property manager and Sites Coordinator will conduct quarterly inventory checks in all homes to ensure that Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. If any of those areas are not well lit, the sites coordinator will complete a work order and submit to the administrator. Repairs will be made within 24 hours. (POC Attachment 10) |
02/15/2020
| Implemented |
| 6400.72(b) | The Handle for the living room sliding glass door was broken off the door and damaged. | Screens, windows and doors shall be in good repair. | The handle for the living room sliding glass door have been replaced and are in good repair. Moving forward, Property manager and sites coordinator will conduct quarterly inventory checks on all Screens, windows and doors to ensure that they are in good repair. If Screens, windows and doors need repaired or replaced, the house manager will complete a work order and submit to the administrator. Repairs will be made within 7 calendar days. |
03/01/2020
| Implemented |
| 6400.77(b) | Scissors and antibiotic ointment were not located in the First Aid kit | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | OLALUS Sites coordinator has completed an inventory of all first aid kits to ensure that tweezers and all contents of the first aid kit accounted for kept . Monthly, after every fire drill, staff Sites coordinator will do an inventory on all first aid kits to ensure that all its contents are present. (POC Attachment 1) |
03/01/2020
| Implemented |
| 6400.144 | The following medication was not located in the home for the individual to use as needed per the medication administration record for individual 1.
PRN medication ondansetron 4 mg, ibuprofen 600 mg, and docqlax 50 mg | 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.
| Medication was listed in the Medical Administration Record (MAR) requested for, delivered by the pharmacy and placed in the individual¿s medication box. Moving forward, OLALUS nurse and sites coordinator will check all medications delivered at the beginning of every month, to ensure that all prescribed medications for all individual are provided and administered as prescribed. (POC Attachment 8) |
02/20/2020
| Implemented |