| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The agency's self-assessment, completed 10/2/2023 through10/5/2023, did not address the following regulations 6400.210b to 6400.25c; 6400.213(1)(iv) to 6400.213(2); and 6400.217. These areas were left blank. [Repeat Violation, 1/27/2023] | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| OCH will conduct self-assessments within 3-6 months prior to expiration date of the certificate of compliance and will be reviewed for completion, etc. to measure and record compliance with Chapter 6400 regulations. New assessments were completed 1/25/2024 by (Program Specialist/CIO]. Training will be conducted Program Director regarding self assessments standards. |
01/25/2024
| Implemented |
| 6400.63(a) | At 11:13AM on 1/24/2024, the hot water temperature measured 124.3°F at the sink in the kitchen of the home. At 11:22AM on 1/24/2024, the hot water temperature measured 124.7°F at the sink in the only bathroom of the home. [Repeat Violation, 1/27/2023] | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | QCH Staff [DCW] will record kitchen and bathroom sink water temperature twice a day. Temperatures that measure above 120 degrees will be reported to building maintenance. QCH Staff [DCW] will assist individuals in adjusting water temperature if water exceeds 120 degrees. Training will be conducted by QCH Staff [Human Resources] regarding water temperatures to ensure that individuals are not burned. |
01/26/2024
| Implemented |
| 6400.216(a) | At 10:30AM on 1/24/2024, Individual #1's medical records were unlocked and unattended on a table and on top of a filing cabinet in the dining room of the home. | An individual's records shall be kept locked when unattended.
| Quick Care Homes[DCW] will ensure all individuals records and documents shall be locked up when unattended. Program Specialist / CIO will retrained DCW's on individuals record safekeeping while unattended. |
02/14/2024
| Implemented |