| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | At 10:22AM a spray bottle of Clorox Clean-up Disinfectant Cleaner with Bleach, with instructions to contact Poison Control if ingested, was under the sink in the second floor bathroom. Individual #1's Individual Service Plan, dated 6/15/2022, states, "[Individual #1] REQUIRES VERBAL ASSISTANCE AND TOTAL PHYSICAL ASSISTANCE REGARDING THE STORING AND HANDLING OF POISONOUS OR DANGEROUS SUBSTANCES. [Individual #1] DOES NOT KNOW HOW TO CONTROL HIS IMPULSES TO SMELL OR TASTE THESE SUBSTANCES. STAFF NEED ONLY TO MONITOR, VERBALLY PROMPT, AND PHYSICALLY REMOVE THE ITEMS IF HE COMES CLOSE TO THEM." | Poisonous materials shall be kept locked or made inaccessible to individuals. | Lead supervisor locked up all poisonous materials immediately after survey. All staff were verbally educated on-site immediately after survey. |
12/31/2022
| Implemented |
| 6400.72(b) | There is not a screen in the window next to the closet in Individual #2's bedroom and the window does not close securely. [Repeat Violation, 6/3/2022, 8/5/2022] | Screens, windows and doors shall be in good repair. | Maintenance repair order was placed to provide a proper screen. The screen has been placed and is currently correctly installed. |
11/01/2022
| Implemented |
| 6400.214(b) | The most current copies of Individual #1's record information required in § 6400.213(2)-(8) were not present in the home. | The most current copies of record information required in § 6400.213(2)¿(8) shall be kept at the residential home. | The provider will ensure that all homes have the individuals¿ most current copies of record information required to be kept in the residential homes. The provider will work closely with the lead supervisors, program specialist, and other designated staff to ensure that each individuals¿ record information remains current with required documents. |
10/31/2022
| Implemented |
| 6400.163(d) | The first aid kit that is stored in the unlocked cabinet in the kitchen of the home contained packets of Ibuprofen, Aspirin, Diphenhydramine and Acetaminophen. [Repeat Violation, 6/3/2022] | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | Lead supervisor immediately removed all medications from the first aid kit. All staff were educated verbally on-site immediately after survey. All of houses¿ first aid kits were also immediately inspected for any medications that should be kept in an area or container that is locked. Staff will check at the beginning and end of each shift to ensure all medications are in a locked container. |
10/31/2022
| Implemented |