|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | At the time of the 08/02/23 physical site inspection, there was a golf ball size amount of lint in the laundry dryer screen. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Lint was removed from the dryer right away on August 2, 2023. Plan of correction procedure has been written and has been posted on the dryer. Sisters and Brothers Keepers Staff will clean lint from dryers after every use in accordance with the above regulations. This will ensure that surfaces are free of Hazard and Reduce Risk of Fire. Supervisors will monitor this weekly and monthly during monthly fire drills.
A Certified Fire Safety Trainer will train staff in fire safety during orientation and prior to working alone with individuals, and thereafter annually.
Primary Benefit: Safe surfaces help to maintain sanitary conditions in the home, reduce fire hazard and minimize the risk that individuals will suffer an injury while ambulating, and provide dignified living conditions. |
08/17/2023
| Implemented |
| 6400.70 | At the time of the 08/02/23 physical site inspection, the home did not contain a functioning telephone. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| Sisters and Brothers Keepers has an operable, non-coin-operated telephone with an outside line that is easily accessible to individuals and staff persons. On August 2nd, 2023, the CEO contacted the telephone provider to make sure services were restored. They also set up monthly payments on auto renewal to ensure no phone disruption. The Program Specialist will ensure that staff are trained in the above regulations during orientation and prior to working alone with individuals. At the beginning of each shift, Staff will check the phone to ensure it is working. In the event of an outage or emergency, staff will contact the supervisor using an agency provided cellphone.
Cell Phones: A cell phone will be considered acceptable for regulatory compliance when all of the following conditions are met: 1. There must be adequate and consistent cell phone reception at the setting. 2. At least one cell phone is kept in a designated location in the home setting. This does not preclude additional cell phones in the setting that are kept on staff¿s persons. Basis: Keeping a cell phone in a designated location ensures that it is easily accessible in the event of an emergency. At the beginning of each shift Staff will ensure the land line is working and the back-up cell phone is fully charged and working. Staff and Supervisor will adhere to the above regulations and will communicate with Management, Program Specialist, and CEO. |
08/17/2023
| Implemented |
|
|