| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(b) | The first aid kit did not contain scissors and tweezers. Provider corrected this citation after the inspection. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | SCISSORS AND TWEEZERS WERE ADDED TO THE FIRST AID KIT AND EVERY 6 MONTH THE SUPERVISOR WILL CHECK TO MAKE SUREALL THE ITEM NEEDED WILL BE IN THE FIRST AID KIT SO THE AGENCY CAN BE IN COMPLAINCE WITH REGULATION |
02/04/2021
| Implemented |
| 6400.110(a) | Homes shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. The home did not have a smoke detector on the attic level of the home. Provider corrected this violation during the inspection. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | A SMOKE DETECTOR AND FIRE EXTENGISHER WERE PLACE IN THE ATTIC. STAFF AND SUPERVISOR WILL CHECK EVERY MONTH DURING FIRE DRILL SO THE AGENCY CAN BE IN COMPLAINCE WITH6100 REGULATION |
02/04/2021
| Implemented |
| 6400.111(a) | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. The home did not have a fire extinguisher on the attic level of the home.
Provider corrected this during inspection. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | A SMOKE DETECTOR AND FIRE EXTENGISHER WITH A MINIMUM 2-A RATING WERE PLACE IN THE ATTIC. STAFF AND SUPERVISOR WILL CHECK EVERY MONTH DURING FIRE DRILL SO THE AGENCY CAN BE IN COMPLAINCE WITH6100 REGULATION |
02/04/2021
| Implemented |
| 6400.46(b) | Program Specialists and direct service workers shall be trained annually by a fire safety expert. Staff #1 works in the role of Program Specialist and did not receive fire safety training by a fire safety expert. Staff #2 work directly in the home with an individual and did not receive annual fire safety training from a fire safety expert. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | STAFF WATCH A FIRE SAFETY VIDEO WHICH WAS DONE BY FIRE EXPERT, AGENCY WILL HAVE EACH STAFF TO DO THE TRAINING BEFORE WORKING WITH INDIVIDUAL. |
02/19/2021
| Implemented |
| 6400.52(c)(5) | The annual training hours must include the safe and appropriate use of behavior supports if the person works directly with an individual. Staff #1 works directly with an individual in the role of Program Specialist and did not receive training in the safe and appropriate use of behavior supports. Staff #2 works directly with an individual in the role of direct service worker and did not receive training in the safe and appropriate use of behavior supports. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The safe and appropriate use of behavior supports if the person works directly with an individual. | AGENCY STAFF WAS TRAINED IN INDIVIDUAL BEHAVIOR PLAN AND MOVING FORWARD A CERTIFICATE WILL BE PRINT FOR EACH STAFF ONCE TRAIN. ALSO THE BEHAVIOR SUPPORT WILL BE REVISED ANNUALLY. |
02/19/2021
| Implemented |