| 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 10/5/2023, did not address regulations 6400.163c through 6400.166a1. 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 |
| 6400.62(a) | At 11:17AM on 1/24/2024, an aerosol can of Scrubbing Bubbles bathroom cleaner was unlocked and accessible in the cabinet under the sink in the bathroom of the home. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Quick Care Homes [Maintenance Department] installed knobs on the cabinet under the sink with a child lock so that poisonous materials are locked or made inaccessible to individuals. QCH Staff [Human Resources] will retrain staff on poisonous materials being kept locked according to the Chapter 6400 regulations. |
01/25/2024
| Implemented |
| 6400.63(a) | At 11:15AM on 1/24/2024, the hot water temperature measured 125.2°F at the sink in the kitchen of the home. At 11:18AM on 1/24/2024, the hot water temperature measured 124.5°F at the sink in the 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. | Quick Care Homes[Supervisor] adjusted the water hot water tank to reflect temperatures to not exceed 120 degrees Fahrenheit for hot water faucets, sinks, and tubs. QCH staff [ Human Resources] will retrain staff on water temperatures according to the Chapter 6400 Regulation to protect the individuals from potential burns. |
01/25/2024
| Implemented |
| 6400.66 | At 11:15AM on 1/24/2024, the only light source outside the front exit of the home was inoperable. There was no light source outside the side exit of the home. [Repeat Violation, 1/27/2023] | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Quick Care Homes staff [Program Director] contacted a contractor and installed a light on the front porch that is operable and also installed a solar light on the side exit of the home. QCH staff will be retrained on required lighted areas to ensure the safety of the individuals and staff and to avoid accidents according to Chapter 6400 regulations. |
02/11/2024
| Implemented |
| 6400.67(a) | At 11:22AM on 1/24/2024, the air duct vent cover, on the floor next to the bed in Individual #1's bedroom, had broken metal slats posing a tripping and laceration hazard. | Floors, walls, ceilings and other surfaces shall be in good repair. | Quick Care Homes[Maintenance Department] installed two vent cover with a reinforced structure inside of the vent to prevent tripping and hazards. QCH staff [Human Resources] will retrain staff on floors, walls, ceilings and other surfaces being kept in good repair. |
02/04/2024
| Implemented |
| 6400.72(b) | At 11:09AM on 1/24/2024, the front facing window in the living room of the home is broken and covered with two wooden boards. At 11:24AM on 1/24/2024, the window in the staff office on the first floor of the home was broken and the shards of glass were piled at the bottom of the window pane. | Screens, windows and doors shall be in good repair. | Quick Care Homes Program Director contacted a window company, and the living room and staff office windows were replaced (Shards of glass was removed). QCH staff will be retrained by QCH Human Resources regarding screens, windows and doors being kept in good condition and repair.. |
02/05/2024
| Implemented |
| 6400.106 | The furnace was inspected and cleaned on 8/3/2022 and then again on 1/9/2024. [Repeat Violation, 1/27/2023] | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| Quick Care Homes staff [ Human Resources] retrained staff regarding annual furnace inspection by a cleaning company and obtaining written documentation. |
02/10/2024
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1's assessment, completed 3/4/2023, does not address the individual's current level in financial independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| Quick Care Homes [Program Specialist] will update Individual #1's assessment to address current level in financial independence . Program Specialist will be retrained by Program Director in the area of Financial Independence. |
03/05/2024
| Implemented |
| 6400.181(e)(13)(viii) | Individual #1's assessment, completed 3/4/2023, does not address the individual's current level in managing personal property. [Repeat Violation, 1/27/2023] | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. | Quick Care Homes [Program Specialist] will update Individual # 1's assessment to address current level in managing personal property. Program Specialist will be retrained by the Program Director in the area of "Managing Personal Property". |
03/05/2024
| Implemented |
| 6400.166(a)(9) | Individual #1 is prescribed Lorazepam with instructions to "take one tablet by mouth as needed for anxiety/agitation. Max once per day." Individual #1's January Medication Administration Record reads, "Take 1 tablet by mouth 3 times a day as needed." | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration. | Quick Care Homes staff [Program Director] reviewed medication administration records for this individual and the medications listed have been updated on the Medication administration record to match the pharmacy label instructions. Program Director will retrain staff on medications record keeping and the frequency of administration. |
02/10/2024
| Implemented |
| 6400.166(b) | Lamotrigine prescribed to Individual #1 was not initialed as administered at 8:00PM on 1/23/2024. Vitamin B-12 prescribed to Individual #1 was not initialed as administered at 8:00AM on 1/24/2024. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | All participant administered medications shall be documented using the electronic medication administration record on the date and time specified. Staff with missing initials have received a disciplinary action and have been retrained by [Program Director] on the fifteen observation steps that must be followed at all times. Two additional observations have been conducted after the retraining. |
02/09/2024
| Implemented |
| 6400.207(4)(II) | Individual #1 is prescribed Lorazepam with instructions to, "take one tablet by mouth as needed for anxiety/agitation. Max once per day." There are not written instructions by a physician or medical practitioner listing the individual's specific symptoms of the psychiatric diagnosis that would warrant the use of the medication, and the CEO or CEO designee did not authorize the administration of the medication. This medication was administered by Direct Service Worker #1 on 1/1/2024 and 1/6/2024. | A chemical restraint, defined as use of a drug for the specific and exclusive purpose of controlling acute or episodic aggressive behavior. A chemical restraint does not include a drug ordered by a health care practitioner or dentist for the following use or event: Pretreatment prior to a medical or dental examination or treatment. | Quick Care Homes House Managers will ensure that any and all as needed medications will have written instructions by a physician or medical practioner which will include a list of specific symptoms of the psychiatric diagnosis that warrant the use of the medication. Staff must follow the specific instructions prior to administering the medication and receive a verbal authorization from the CEO, Director of operations or Program specialist. QCH staff will be retrained by the Program Specialist on chemical restraints purposes and usage. |
02/10/2024
| Implemented |