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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.16 | Individual #1 was administered Lorazepam 1mg tabs (Generic for Ativan), take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM for anxiety. This medication was prescribed to Individual #1 until 1/1/23 when the individual was hospitalized. Individual #1 was discharged from the hospital on January 26, 2023. Upon discharge from the hospital, Individual #1 was not prescribed Lorazepam. When reviewing Medication Administration Records (MAR) and medication blister packs for March, Staff #1 discovered a blister pack that contained Lorazepam 1mg tabs (Generic for Ativan). Take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM located in the medication closet. Staff #1, who was reviewing the MAR and medications for March advised Staff #2 that this medication had been located in the medication cabinet and asked Staff #2 if it should be added to the Medication Administration Record. Staff #2 advised Staff #1 if the medication was not on the Medication Administration Record, it should be added. Staff #1 added the medication the MAR as it was believed that Individual #1 was prescribed this medication. Staff #1 and Staff #2 did not verify if this medication was prescribed before adding it to the MAR. This medication was administered to Individual #1 on March 1, 2023, at 8AM, March 2, 2023, at 4PM and 8PM, March 3, 2023, at 8AM and 8PM, March 3, 5, 6, 7, 8, 9 and 10, 2023 at 8AM, 4PM and 8PM. The administration of this medication was discovered on March 8, 2023, by the individual's DDDT team and reported to Individual #1's Psychiatrist. Individual #1's Psychiatrist began titration of the medication on March 11, 2023. Individual #1 should not have received this medication as it was not prescribed to the individual. The blister pack of medication that was located in the home had been delivered on December 29, 2022, while Individual #1 was hospitalized. The blister pack was placed the medication cabinet and was not returned to the pharmacy. Individual #1 was abused in that a medication that was not prescribed to Individual #1 was administered to the individual. Staff failed to contact the prescribing physician to determine if the individual should receive the medication. Staff did not contact the physician prior to administering the medication to ensure that other medications that Individual #1 is prescribed would have a negative interaction with the Lorazepam. | Abuse of an individual is prohibited. Abuse is an act or omission of an act that willfully deprives an individual of rights or human dignity or which may cause or causes actual physical injury or emotional harm to an individual, such as striking or kicking an individual; neglect; rape; sexual molestation, sexual exploitation or sexual harassment of an individual; sexual contact between a staff person and an individual; restraining an individual without following the requirements in this chapter; financial exploitation of an individual; humiliating an individual; or withholding regularly scheduled meals. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. |
03/17/2023
| Implemented |
| 6400.62(a) | Poisons are not locked in the home. Individual #1's ISP states that the individual is safe with poisons and poisons do not need to be locked in the home. At the time of the inspection, staff reported during a behavioral incident, Individual #1 utilized a can of Lysol and sprayed it in the face of a staff member. Following the incident with the Lysol, Individual #1 signed a document agreeing to have poisons locked and no further assessment of Individual #1's need was completed and during the inspection, there were cleaning supplies under the bathroom sink and body sprays, perfume and cans of spray air freshener located in Individual #1's bedroom. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Since the incident with the Lysol was only a one time incident when the individual was not stable mental health wise, the team discussed that the poisons do not need to be locked up at this time. |
03/20/2023
| Implemented |
| 6400.68(b) | The water temperature in the home exceeded 120 degrees. The water temperature in the bathtub of the home was measured at 150.6 degrees. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | a plumber was called on 3/17/2023 and he turned down the water heaters in the basement so that the water temperature would not exceed 120 degrees until he could return to have the scald guards attached to both sinks and the bathtub faucets. |
03/31/2023
| Implemented |
| 6400.71 | There were not telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center located on or by each telephone in the home with an outside line. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| on 3/17/2023 the phone lists were put back in front of each phone and the individual was counseled on the importance of keeping the numbers visible in case of emergencies. |
03/17/2023
| Implemented |
| 6400.83(a) | A home shall have a kitchen area with a refrigerator, sink, cooking equipment and cabinets for storage. The home did not have a working oven and stove. Both were inoperable. | A home shall have a kitchen area with a refrigerator, sink, cooking equipment and cabinets for storage. | the landlord came at 230pm on 3/17/23 and replaced the stove/oven combo. |
03/17/2023
| Implemented |
| 6400.143(a) | Individual # is prescribed Opremazole 20mg, take one capsule by mouth every morning, this medication was refused on March 12 at 8AM; Benztropine Mesylate 0.5mg, take 1 tablet by mouth twice a day for seven days then take 1 tablet by mouth every morning for 7 days beginning on 3/8/23. This medication is documented as refused on 3/12 and 3/13 at 8A; Vitamin D 1000 units, take 1 capsule by mouth twice a day. This medication was documented as refused on March 12 at 8AM and March 15 at 8AM and 8PM; Topiramate 100mg tabs, take 1 tablet by mouth twice a day. This medication is documented as refused this medication on 3/12/23 at 8AM and on 3/15/23 at 8AM; Benztropine 0.5mg tab, take 1 tablet by mouth twice a day. This medication was discontinued on 3/8/23. This medication is documented as refused on 3/4/23; Haloperidol 5mg tabs, take 1 tablet twice a day for 7 days then take 1 tablet every morning for 7 days. This medication was documented as refused on 3/12/23 and 3/13/23 at 8AM and 3/14/23 8pm; Benztropine Mesylate 0.5mg, take 1 tablet by mouth twice a day for seven days then take 1 tablet by mouth every morning for 7 days beginning on 3/8/23. This medication was documented as refused on 3/12/23, 3/13/23, at 8AM; Clonazepam 0.5mg, take 1 tablet by mouth three times a day begin on 3/11/23. This medication was documented as refused on 3/12/23, 3/13/23, at 8AM. 3/13/23 and 3/14/23 at 8pm; Lithium Carbonate 300mg, take 1 capsule by mouth three times a day begin on 3/10/23. This medication was documented as refused on 3/12/23 and 3/15/23 at 8AM. Refusals for these medications are documented on the on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation regarding steps that were taken to train about the need for health care. | If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. |
03/31/2023
| Implemented |
| 6400.171 | Food is not being protected from contamination while being stored. There was a pan of chicken located in the oven that staff had attempted to cook the previous night. It was reported that the oven was not working when attempting to cook the chicken. There was a paper plate with deviled eggs located in the refrigerator that was uncovered. | Food shall be protected from contamination while being stored, prepared, transported and served.
| review of food storage and contamination was reviewed with staff and with the individual. all food that was in the refrigerator was gone thru with upper management and all was dated at that time. |
03/17/2023
| Implemented |
| 6400.181(e)(6) | Individual #1 is not assessed properly for the use of poisons. At the time of the inspection, staff reported during a behavioral incident, Individual #1 utilized a can of Lysol and sprayed in in the face of a staff member. Individual #1 is assessed as being safe with poisons. Individual #1's assessment, Behavior Support Plan and Individual Support plan do not address Individual #1's inappropriate use of poisons. Following the incident with the Lysol, Individual #1 signed a document agreeing to have poisons locked and no further assessment of Individual #1's need was completed. | The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. | Since the incident with the Lysol was only a one time incident when the individual was not stable mental health wise, the team discussed that the poisons do not need to be locked up at this time. |
03/28/2023
| Implemented |
| 6400.211(a) | Emergency information for Individual #1 was not easily accessible in the home. There was not a record maintained in the home that contained emergency information for Individual #1. | Emergency information for an individual shall be easily accessible at the home.
| the director took over all information that needed to be kept in the individuals chart including emergency information on 3/17/23. |
07/05/2023
| Implemented |
| 6400.212(a) | A separate record is not kept for Individual #1. There was not an individual record available in the home for Individual #1. | A separate record shall be kept for each individual.
| the director took over all information that needed to be kept in the individuals chart including emergency information and all appointment forms on 3/17/23. |
03/17/2023
| Implemented |
| 6400.163(h) | Individual #1 was prescribed Lorazepam 1mg tabs (Generic for Ativan), take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM for anxiety. This medication was prescribed to Individual #1 until 1/1/23 when the individual was hospitalized. Individual #1 was discharged from the hospital on January 26, 2023. Upon discharge from the hospital, Individual #1 was not prescribed Lorazepam. A Blister pack of this medication was delivered to the home on December 29, 2022, prior to being discontinued. This medication was placed in the medication cabinet and not disposed of in a safe manner according to applicable Federal and State statutes and regulations. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. |
03/31/2023
| Implemented |
| 6400.165(a) | Individual #1 was administered medication that was not prescribed in writing by an authorized provider. Individual #1 was administered Lorazepam 1mg tabs (Generic for Ativan), take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM for anxiety. This medication was prescribed to Individual #1 until 1/1/23 when the individual was hospitalized. Individual #1 was discharged from the hospital on January 26, 2023. Upon discharge from the hospital, Individual #1 was not prescribed Lorazepam. When reviewing Medication Administration Records (MAR) and medication blister packs for March, Staff #1 discovered a blister pack that contained Lorazepam 1mg tabs (Generic for Ativan). Take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM located in the medication closet. Staff #1, who was reviewing the MAR and medications for March advised Staff #2 that this medication had been located in the medication cabinet and asked Staff #2 if it should be added to the Medication Administration Record. Staff #2 advised Staff #1 if the medication was not on the Medication Administration Record, it should be added. Staff #1 added the medication the MAR as it was believed that Individual #1 was prescribed this medication. Staff #1 and Staff #2 did not verify if this medication was prescribed before adding it to the MAR. This medication was administered to Individual #1 on March 1, 2023, at 8AM, March 2, 2023, at 4PM and 8PM, March 3, 2023, at 8AM and 8PM, March 3, 5, 6, 7, 8, 9 and 10, 2023 at 8AM, 4PM and 8PM. The administration of this medication was discovered on March 8, 2023, by the individual's DDDT team and reported to Individual #1's Psychiatrist. Individual #1's Psychiatrist began titration of the medication on March 11, 2023. Individual #1 should not have received this medication as it was not prescribed to the individual. The blister pack of medication that was located in the home had been delivered on December 29, 2022, while Individual #1 was hospitalized. The blister pack was placed the medication cabinet and was not returned to the pharmacy. | A prescription medication shall be prescribed in writing by an authorized prescriber. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. When new medications are being delivered to the home the staff need to take pictures of them and send them to the director to review and wait for further directions. |
03/31/2023
| Implemented |
| 6400.165(c) | Medication that was not prescribed to Individual #1 was administered to the individual. Individual #1 was administered Lorazepam 1mg tabs (Generic for Ativan), take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM for anxiety. This medication was prescribed to Individual #1 until 1/1/23 when the individual was hospitalized. Individual #1 was discharged from the hospital on January 26, 2023. Upon discharge from the hospital, Individual #1 was not prescribed Lorazepam. When reviewing Medication Administration Records (MAR) and medication blister packs for March, Staff #1 discovered a blister pack that contained Lorazepam 1mg tabs (Generic for Ativan). Take 1 tablet by mouth three times a day at 8AM, 4PM and 8PM located in the medication closet. Staff #1, who was reviewing the MAR and medications for March added the medication the MAR as it was believed that Individual #1 was prescribed this medication. Staff #1 did not verify if this medication was prescribed before adding it to the MAR. This medication was administered to Individual #1 on March 1 at 8AM, March 2 at 4PM and 8PM, March 3 at 8AM and 8PM, March 3, 5, 6, 7, 8, 9 and 10 at 8AM, 4PM and 8PM. The administration of this medication was discovered on March 8, 2023, and reported to Individual #1's Psychiatrist. Individual #1's Psychiatrist began titration of the medication on March 11, 2023. Individual #1 should not have received this medication as it was not prescribed to the individual. The blister pack of medication that was located in the home had been delivered on December 29, 2022, while Individual #1 was hospitalized.
Individual #1 is prescribed Vitamin D3, 1000-unit SOFTG, take 1 capsule by mouth twice a day. This medication is not administered as prescribed. This medication is not documented as administered on 3/16/23 or 3/17/23 at 8PM. It is unknown if this medication was administered as there is only one blister pack in the home being utilized for both 8AM and 8PM doses. There was an additional blister pack dated 3/1/23 in the home that no pills were utilized from. The blister pack that is utilized listed 8AM on the top of the pack, however the pack contained one pill and staff reported that they administer both doses from the same pack. The blister pack is dated when medications are removed and the last date that the blister pack was dated was 3/14/23. The inspection took place at the home on March 17, 2023. This medication was signed out as administered on March 17, and March 18, 2023. It is unknown if the medication was administered on March 17, 2023, and why the medication was documented as administered for a future date.
Individual #1 was prescribed Benztropine 0.5mg tab, take 1 tablet by mouth twice a day. This medication was discontinued on 3/8/23. Individual #1 refused this medication on 3/4/23. This medication was not initialed on 3/6/23 as administered. It is unknown if the medication was administered as prescribed as the medication as not available in the home to review.
Individual #1 was prescribed Clonazepam 0.5mg, take 1 tablet by mouth three times a day begin on 3/11/23. This medication is not administered as prescribed. This medication was not documented as administered on 3/12/23 8at 8AM. The medication was documented as administered on 3/17/23 at 4PM, 8PM, 3/1/23 at 8AM and 4PM and 3/19/23 at 8AM. The inspector was present at the home on 3/17/23 at 12PM; it is unknown why all medications documented as administered after this time were documented. There was only one blister pack that is utilized to administer this medication. Staff reported that all does are administered from one blister pack and when it is empty, the next pack started. The times, 8AM, 4PM and 8PM were had written next to the label on the blister pack. The blister pack is dated 3/10/23 and contained 5 unused pills. If pack originally contained 22 pills. There were signatures documenting that 19 pills had been administered 1 dose not documented as administered and 4 refusals with 5 pills remaining in the blister pack. It is unknown if Individual received this medication as prescribed or why future dates were documented as administered. If administered properly from the start date to the date of inspection, 24 pills would have been required and there should not have been any remaining in the blister pack. It is unknown if the medication is being administered as prescribed or why the medication is documented as administered for future times and dates.
Individual #1 was prescribed Lithium Carbonate 300mg, take 1 capsule by mouth three times a day begin on 3/10/23. The blister pack in the home was dated 3/1/23 and had 8AM, 4PM and 8PM had written next to the label. The medication was documented as administered on 3/17/23 at 4PM, 8PM, 3/18/23 at 8AM, 4PM and 9PM and 3/19/23 at 8AM. The inspector was present at the home on 3/17/23 at 12PM; it is unknown why all medications documented as administered after this time were documented. There was only one blister pack that is utilized to administer this medication. Staff reported that all does are administered from one blister pack and when it is empty, the next pack started. The blister pack in the home contained 31 tablets on 3/1/23. If the blister pack is being utilized for three doses of medication daily, on 3/17/23 at 12PM, there should have been no pills in this blister pack. The blister pack contained 17 pills. It is unknown if the medication is being administered as prescribed or why the medication is documented as administered for future times and dates.
Individual #1 was prescribed Haloperidol 5mg tabs, take 1 tablet twice a day for 7 days then take 1 tablet every morning for 7 days. This medication is documented as administered on 3/18/23 at 8AM. The inspection too place on 3/17/23 at 12PM. There was one blister pack of the medication dated 3/8/23 available in the home. Next to the label on the blister pack, 8AM and 8PM was handwritten on the blister pack. There was only one blister pack that is utilized to administer this medication. Staff reported that all does are administered from one blister pack and when it is empty, the next pack started. The blister pack was started on 3/8/23 at 8PM. Seven 7 pills remained in the blister pack. There were two refusals of this medication documented on the Medication Administration record. There were 21 pills in the original blister pack on 3/8/23. If administered as prescribed, there should be 6 pills remaining in the blister pack. Based on the number of pills remaining in the blister pack, this medication is not being administered as prescribed.
Individual #1 was prescribed Benztropine Mesylate 0.5mg, take 1 tablet by mouth twice a day for seven days then take 1 tablet by mouth every morning for 7 days beginning on 3/8/23. This medication is documented as administered on 3/18/23 at 8AM. The inspection took place on 3/17/23 at 12PM. There was one blister pack of the medication dated 3/8/23 available in the home. Next to the label on the blister pack, 8AM and 8PM was handwritten on the blister pack. There was only one blister pack that is utilized to administer this medication. Staff reported that all does are administered from one blister pack and when it is empty, the next pack started. There were 21 pills in the original blister pack. There were 7 documented refusals of this medication. The blister pack was started on 3/8/23 at 8PM. There should be 5 pills remaining in the blister pack if administered as prescribed. Based on Individual #1 refusing the medication 7 times, there should be 12 pills remaining in the blister pack. There are only 6 pills remaining. It is unknown if the medication is being administered as prescribed or why the medication was documented as administered for future dates. | A prescription medication shall be administered as prescribed. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. When new medications are being delivered to the home the staff need to take pictures of them and send them to the director to review and wait for further directions. All refusals will be monitored by the director also. |
03/31/2023
| Implemented |
| 6400.166(b) | The information in subsection (a) (12) and (13) is being recorded in the medication record for future dates and times and not at the time the medication is administered. Individual #1 is prescribed Topiramate 100mg tabs, take 1 tablet by mouth twice a day. This medication was documented as administered for future administration at 8AM for March 18 and March 19, 2023. The inspection took place on March 17, 2023, at 12PM.
The information in subsection (a) (12) and (13) is being recorded in the medication record for future dates and times and not at the time the medication is administered. Individual #1 is prescribed Vitamin D3, 1000-unit SOFTG, take 1 capsule by mouth twice a day. This medication was documented as administered for future administration at 8AM for March 18, 2023. The inspection took place on March 17, 2023, at 12PM.
The information in subsection (a) (12) and (13) is being recorded in the medication record for future dates and times and not at the time the medication is administered. Individual #1 was prescribed Clonazepam 0.5mg, take 1 tablet by mouth three times a day begin on 3/11/23. This medication is not administered as prescribed. This medication was not documented as administered on 3/12/23 at 8AM. The medication was documented for future administration on 3/17/23 at 4PM, 8PM, 3/18/23 at 8AM and 4PM and 3/19/23 at 8AM. The inspection took place on March 17, 2023, at 12PM.
The information in subsection (a) (12) and (13) is being recorded in the medication record for future dates and times and not at the time the medication is administered. Individual #1 was prescribed Lithium Carbonate 300mg, take 1 capsule by mouth three times a day begin on 3/10/23. The blister pack in the home was dated 3/1/23 and had 8AM, 4PM and 8PM had written next to the label. The medication was documented as administered for future administration on 3/17/23 at 4PM, 3/17/23 at 8PM, 3/18/23 at 8AM, 3/18/23 at 4PM and 9PM and 3/19/23 at 8AM. The inspection took place on March 17, 2023, at 12PM.
The information in subsection (a) (12) and (13) is being recorded in the medication record for future dates and times and not at the time the medication is administered. Individual #1 was prescribed Haloperidol 5mg tabs, take 1 tablet twice a day for 7 days then take 1 tablet every morning for 7 days. This medication is documented as administered for future administration on 3/18/23 at 8AM. The inspection took place on March 17, 2023, at 12PM.
The information in subsection (a) (12) and (13) is being recorded in the medication record for future dates and times and not at the time the medication is administered. Individual #1 was prescribed Benztropine Mesylate 0.5mg, take 1 tablet by mouth twice a day for seven days then take 1 tablet by mouth every morning for 7 days beginning on 3/8/23. This medication is documented as administered for future administration on 3/18/23 at 8AM. The inspection took place on March 17, 2023, at 12PM. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. |
03/31/2023
| Implemented |
| 6400.166(c) | Individual #1 is prescribed Omeprazole 20mg, take 1 capsule by mouth every morning 1 hour before first meal of the day. Individual #1 refused this medication on 3/12/23. The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal was reported to the prescriber as directed by the prescriber.
Individual #1 is prescribed Vitamin D3, 1000-unit SOFTG, take 1 capsule by mouth twice a day. Individual #1 refused this medication on 3/12/23 at 8AM and on 3/15/23 at 8AM and 8PM. The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal was reported to the prescriber as directed by the prescriber.
Individual #1 is prescribed Topiramate 100mg tabs, take 1 tablet by mouth twice a day. Individual #1 refused this medication on 3/12/23 at 8AM and on 3/15/23 at 8AM. The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal was reported to the prescriber as directed by the prescribe.
Individual #1 was prescribed Benztropine 0.5mg tab, take 1 tablet by mouth twice a day. This medication was discontinued on 3/8/23. Individual #1 refused this medication on 3/4/23. The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal shall was reported to the prescriber.
Individual #1 was prescribed Haloperidol 5mg tabs, take 1 tablet twice a day for 7 days then take 1 tablet every morning for 7 days. This medication was documented as refused on 3/12/23 and 3/13/23 at 8AM. 3/14/23 8pmThe refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal shall was reported to the prescriber as directed by the prescriber.
Individual #1 was prescribed Benztropine Mesylate 0.5mg, take 1 tablet by mouth twice a day for seven days then take 1 tablet by mouth every morning for 7 days beginning on 3/8/23. This medication was documented as refused on 3/12/23, 3/13/23, at 8AM. The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal shall was reported to the prescriber as directed by the prescriber.
Individual #1 was prescribed Clonazepam 0.5mg, take 1 tablet by mouth three times a day begin on 3/11/23. This medication was documented as refused on 3/12/23, 3/13/23, at 8AM. 3/13/23, 3/14 8pm The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal shall was reported to the prescriber as directed by the prescriber.
Individual #1 was prescribed Lithium Carbonate 300mg, take 1 capsule by mouth three times a day begin on 3/10/23. This medication was documented as refused on 3/12/23 and 3/15/23 at 8AM. The refusal is documented on the Medication Administration Record under the date and time that the medication should have been administered, however there is no documentation that the refusal shall was reported to the prescriber as directed by the prescriber. | If an individual refuses to take a prescribed medication, the refusal shall be documented on the medication record. The refusal shall be reported to the prescriber as directed by the prescriber or if there is harm to the individual. | All staff had their med privileges revoked and had to redo the new medication administration course that came out in January. All med refusals need to be directed to the director so that she can follow the appropriate steps until a new medication observer can be hired to help with the process. |
07/05/2023
| Implemented |
| 6400.186 | Individual #1's Individual Service Plan (ISP) including revisions is not being implemented. Individual #1 requires 2:1 staffing at all times per the individuals ISP as of 1/26/23, there is no additional information regarding supervision and where staff need to be located in proximity to Individual #1. Individual #1 during behavioral episodes, will throw staff out of the home and staff will remain out of the home until the behavioral episodes end. On at least one occasion, staff reported remaining out of the home from 1:00AM until 7:00AM. Staff remain outside of the door of the home, on at least on occasion, one staff will move to a lower level of the stairs outside of the home when Individual #1 targets that staff leaving Individual #1 with inappropriate staff supervision. | The home shall implement the individual plan, including revisions. | this plan of staff staying outside of the door was created by the DDTT team and reviewed with all staff by the DDTT behavior specialist. The staff were informed that if the individual kicks them out of the house that they are to stay in the hallway right outside her door and to check on her every 10 minutes. there were two chairs that were bought for the staff to utilize when she kicks them out. |
07/05/2023
| Implemented |
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