| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | The window blinds in the living room are torn and should be repaired or replaced. | Floors, walls, ceilings and other surfaces shall be in good repair. | New blind was installed |
03/29/2023
| Implemented |
| 6400.141(c)(10) | The annual physical dated 11/7/2022 for individual #1, did not indicate if they were free from communicable. disease. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | Examination report was sent back to physician to check that box that was oversight by the Physician. Staff accompanying Individual during Annual physical will ensure and remind the medical provider to check or make comment on that box. |
03/29/2023
| Implemented |
| 6400.181(e)(14) | The assessment for individual #1 did not include their ability to swim in detail. | The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. | The assessment was revised and corrected to include that the individual cannot swimming details. Knowledge of water safety was addressed |
03/28/2023
| Implemented |
| 6400.32(r)(5) | The Individual rights form signed by individual #1 does not address the right having the right to have a key or entry device to lock or unlock their door. | Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. | Key was present for locked doors , but the rights to have a key entry to locked device was not on a standard form and signed. |
03/28/2023
| Implemented |
| 6400.181(f) | At the time of review there was no indication that the program specialist sent the 4/3/22 assessment for individual #1 to the plan team member's. | The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. | The annual assessment will be sent to the team members |
03/29/2023
| Implemented |