| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(14) | Individual #1's 7/21/22 physical has the line medical information pertinent to diagnosis and treatment in case of emergency left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Physical form was taken back to the pcp on 9/1/2022 and all information was updated |
09/01/2022
| Implemented |
| 6400.144 | Individual #1's prescribed medication Prazosin HCL 1MG tablet to be taken once daily at 8pm was not present at site. There was an empty blister pack available at site that and the 8/31/22 pill was not present prior to the administration time. | 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.
| Pharmacy was contacted and medication was on site 3 hours prior to dosage time to be given |
09/01/2022
| Implemented |
| 6400.181(e)(3)(i) | Individual #1's assessment does not address progress and growth over the last 365 days, it only addresses the current skill level. | The assessment must include the following information: The individual's current level of performance and progress in the following areas: Acquisition of functional skills. | assessment has been updated by program specialist to reflect levels of progress non progress or still the same with more detail |
09/01/2022
| Implemented |
| 6400.24 | Ativan 0.5mg prescribed to individual #1 was not being counted. Under the 1970 controlled substances act, all controlled substances need to be double locked and counted. | The home shall comply with applicable Federal and State statutes and regulations and local ordinances. | all controlled substances has a counter sheet in the MAR book |
09/01/2022
| Implemented |
| 6400.182(c) | Individual #1's assessment and ISP have contradicting information. The assessment states that this individual does not know how to swim, but the ISP states that this individual can swim. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Program specialist has email SC on 9-14-2022 and informed her that the plan read that individual can swim however individual can not swim and can she please make sure that it get updated as soon as possible |
09/14/2022
| Implemented |