| 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 through 10/6/2023, contained only Page 1 addressing the following regulatory items: 6400.11 to 6400.22a. Pages 2 through17 addressing regulatory items 6400.18h4 to 6400.275 were not provided; therefore, compliance could not measured. [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. The assessment was submitted 1/25/2024 by (Program Specialist/CIO] and submitted by CFO. Training will be conducted Program Director regarding self assessments standards.
(One assessment was submitted however it was the incorrect assessment and a completed assessment was submitted) |
01/25/2024
| Implemented |
| 6400.81(h) | At 11:50AM on 1/24/24, Individual #2's bedroom did not have an exterior window permitting a view of the outside. | Each bedroom shall have at least one exterior window that permits a view of the outside. | Quick Care Homes licensed a new site in which each bedroom has at least one exterior window that permits a view of the outside. Training in will conducted by QCH staff [Human Resources] in regards to Self Inspection Licensing Tool / Chapter 6400 Regulations. |
01/25/2024
| Implemented |
| 6400.110(b) | At 12:11PM on 1/24/24, there was no smoke detector within fifteen feet of Individual #2's bedroom. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | Quick Care Homes [COO] installed an additional smoke detector outside individual #2's bedroom. Training on smoke detectors location, etc will be conducted by QCH Staff [Human Resources] according to the Chapter 6400 regulations. |
01/24/2024
| Implemented |
| 6400.181(e)(10) | Individual #1's assessment, completed 7/15/2023, did not include a lifetime medical history. | The assessment must include the following information: A lifetime medical history. | Quick Care Homes staff [Program Specialist] completed the lifetime medical history. Limited history is available for Individual # 1 however several attempts were made to obtain more information. Training will be conducted by the Program Director regarding Individual's Assessments. |
02/14/2024
| Implemented |