| 6400.111(f) | (REPEAT 5/9/23) During the annual walk-through on 3/20/24 of the home, none of the fire extinguishers have the date that the inspection was completed only the month & year was hole punched out. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | A member of the management team will date and initial the tags to coincide with the date of annual inspection noted on the invoice. |
04/30/2024
| Implemented |
| 6400.181(a) | Individual #1's initial assessment was not completed within the 60 days after admission. Individual #1's date of admission was 9/8/23 and the initial assessment was completed 11/8/23. The initial assessment was completed 1 day late. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | This error cannot be corrected. Moving forward, all assessments will be reviewed and calculated for correct number of days by the program specialist supervisor. |
04/03/2024
| Implemented |