Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.141(c)(14) | Individual #5's physical exam dated 7/23/21 did not address information pertinent to diagnosis in case of emergency. This section of the physical exam form was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | On 7/23/21 medical evaluation pertinent to diagnosis was done. Program specialist will remember to include medical evaluation to sent document. ( see attached medical evaluation emailed to Kristen) |
03/01/2022
| Implemented |
6400.181(e)(13)(i) | Health: This area was not on Individual #5's assessment dated 10/5/2021. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health.
| on 3/2/22 assessment was corrected including health area. individual has currently progress in the area of portion control, she is able to eat healthy food such as salads and vegetable currently. individual is focusing on weight lose. she is walking with her staff four times a week at the mall.( see attached assessment emailed to Kristen) |
03/02/2022
| Implemented |
6400.181(e)(13)(v) | socialization: Progress in this area was not evaluated on Individual #5's assessment dated 10/5/2021. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. | on 3/2/22 assessment was corrected and currently individual is able to participate in group project and contribute her ideas and thoughts independently. she doesn't need encouragement to participate in community activities. ( see attached corrected assessment emailed to Kristen) |
03/02/2022
| Implemented |
6400.181(e)(13)(vii) | financial independence: Progress in this area was not evaluated on Individual #5's assessment dated 10/5/2021. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| 0n 3/2/22 assessment was corrected. Individual financial independence was evaluated and currently the individual is able to count money up to $100. individual is able to purchase item and count change up to $100 ( See attached corrected assessment emailed to Kristen) |
03/14/2022
| Implemented |
6400.181(e)(13)(viii) | managing personal property: Progress in this area was not evaluated on Individual #5's assessment dated 10/5/2021. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. | on 3/2/22 assessment corrected and indicate progress made on managing property. Currently individual to able to cared and keep her property safe. she doesn't get involved in property destruction. ( see attached corrected assessment emailed to Kristen) |
03/02/2022
| Implemented |
6400.181(e)(13)(ix) | community integration: Progress in this area was not evaluated on Individual #4's assessment dated 10/5/2021. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration. | on 3/2/22 assessment was corrected. Individual community integration progress was evaluated and currently individual is aware of strangers in the community. she can move independently about in her neighborhood to familiar places. ( see attached corrected assessment emailed to Kristen) |
03/02/2022
| Implemented |
6400.181(e)(14) | Individual #5's assessment dated 10/5/21 didn't evaluate their ability to swim. | 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. | 0n 3/2/22 assessment was corrected. Individual's ability to swim was evaluated. Currently individual know how to swim . ( see attached corrected assessment emailed to Kristen) |
03/02/2022
| Implemented |
6400.163(h) | Individual #5's pro re nata (PRN) medication Guaifensein expired 2/15/2022. The medication remained with the individual's medications and was not disposed of properly. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | on 3/3/21 Staff re-trained. medication was disposed properly. ( see attached training emailed to Kristen ) |
03/03/2022
| Implemented |
6400.165(g) | Individual #5 had psychiatric medication reviews on 12/22/21, 9/22/21, 8/25/21, and 5/3/21 and there was no documentation on the necessary dosage for the medication. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | on 3/1/22 program Director wrote a letter to the Physician to notify the physician how proper document of the dosage and reason for all prescribed medication and the need to continue the medication. ( see attached letter to the Physician emailed to Kristen) |
03/01/2022
| Implemented |
6400.182(c) | According to Individual #5's assessment dated 10/5/21 they use money, make and/or counts change in any amount, and buys major items independently above $15.00. However, the individuals ISP states they need support with managing her finances in providing the right amount of money, and knowing if she receives the correct change, and requires assistance in making purchases. The individual plan shall be revised when an individual's needs change based upon a current assessment. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | on 3/2/22 Assessment was corrected. Individual is able to manager her money. she can count change up to $100. program Director sent an email to the SC on 3/3/22 to update individual's plan with her progress in the area of finances . A team meeting was called by the SC on 3/14/22 including the individual and plan is to be updated by the SC ( see attached emailed to the SC and Corrected assessment emailed to Kristen) |
03/14/2022
| Implemented |