| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.62(a) | The was poisonous material unlocked in the cabinets area (Lysol cleaners/Laundry detergents). The ISP states that, individual #1 REQUIRES 24HR SUPERVISION TO ENSURE individual #1's HEALTH AND SAFETY. CHEMICALS SHOULD BE KEPT OUT OF individual #1's REACH AND SHOULD BE KEPT WITHIN ARMS LENGTH AROUND CHEMICALS AT ALL TIMES. | Poisonous materials shall be kept locked or made inaccessible to individuals. | The individual's Supports coordinator updated the ISP to reflect that they are able to be around poisons safely. See attachment for reference. |
06/20/2023
| Implemented |
| 6500.77 | The first aid kit did not include tape. | Each home shall have antiseptic, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and syrup of Ipecac if any individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Tape has been placed in the first aid kit located in the individual's home. Please see attachment labeled for reference. |
06/16/2023
| Implemented |
| 6500.25 | The control substance medication for Individual #1 Restoril 30 mg capsule at 8p was not kept in a double locked box manner. | The home and agency shall comply with applicable Federal and State statutes and regulations and local ordinances. | Lifesharing provider took the locked box into her bedroom and locked it behind her door. Please see attachment for reference. |
06/16/2023
| Implemented |
| 6500.135(b) | Individual #1 wears a helmet for protection during headbanging behaviors. Individual #1 is able to request the use of the helmet as per staff. The helmet came many years ago and has been reviewed by the PCP. However, there is no current order for the helmet, assessment as to the type of helmet best suited and when the helmet should be replaced. Possibly meeting with OT for fit and use would be a good direction. The BSP should be updated with specifics for the use of the helmet. | A prescription order shall be kept current. | Individual #1 saw his PCP, on 7/5/34 for annual physical provided a written note documenting his recommendation for the individual to utilize the helmet including examples. Please see attachment labeled PCP Helmet Note¿ for reference.
Individual #1's BSP has been updated to include information about the specific use of the helmet. Please see attachment for reference. |
07/05/2023
| Implemented |