Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.66 | On 9/29/21 the attic had an inoperable light. The attic is accessible to individuals. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| An operable light has been installed. |
09/30/2021
| Implemented |
6400.81(k)(6) | On 9/29/21, Individual #1's bedroom did not contain a mirror. | In bedrooms, each individual shall have the following: A mirror. | A mirror was installed in the individuals bedroom. |
09/30/2021
| Implemented |
6400.110(a) | The accessible attic, which includes a set of pull-down stairs, did not have a smoke detector. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | An operable light has been installed. |
09/30/2021
| Implemented |
6400.111(a) | On 9/29/21, the attic did not have a fire extinguisher present. The attic is accessible to individuals. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | A fire extinguisher was placed in the attic. |
09/30/2021
| Implemented |
6400.166(a)(11) | The September 2021 Medication Administration Record for Individual #1 does not indicate the diagnosis or purpose for prescribed medications, including, but not limited to: Benztropine Tab 1 mg with instructions take 1 tablet by mouth every night at bedtime; Bupropion Tab 200 MG SR with instructions take 1 tablet by mouth every morning; Haloperidol Tab 10 mg with instructions take 1 tablet by mouth every night at bedtime; Haloperidol Tab 5 mg with instructions take ½ tablet (2.5 MG) by mouth every morning; Levothyroxin Tab 25 mcg with instructions take 1 tablet by mouth daily before breakfast. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | Diagnosis and purpose are written on the MAR. |
10/01/2021
| Implemented |