Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2390.151(e)(6) | Individual #1's 10/2/21 annual assessment did not address the ability to safely use or avoid poisonous materials. Individual #3's 5/5/22 annual assessment did not address the ability to use or avoid poisonous materials. | The assessment must include the following information: The client's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. | Program Speciailist, has reviewed all individuals files for compliance and updated as necessary.
These reviews occured on 5/12 & 5/13. Individual #1 and individual #3 updates will be forwarded. |
05/16/2022
| Implemented |
2390.151(e)(7) | Individual #4's 12/13/21 annual assessment did not address the ability to identify and avoid dangerous heat sources. | The assessment must include the following information: The client's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. | Program Speciailist, has reviewed all individuals files for compliance and updated as necessary.
These reviews occured on 5/12 & 5/13. Individual #4 updates will be forwarded. |
05/16/2022
| Implemented |
2390.21(u) | Individual #2, date of admission is 5/16/11 was informed and explained their individual rights on 10/31/21. There is no other record of Individual #2 being informed and explained individual rights. | The facility shall inform and explain client rights and the process to report a rights violation to the individual, and persons designated by the client, upon admission to the facility and annually thereafter. | Program Speciailist, has reviewed all individuals files for compliance and updated as necessary.
These reviews occured on 5/12 & 5/13. Since this individual started 5/16/11 we will review their Individual rights on 5/16/22 and use that as their annual review date moving forward. Individual #2 updates will be forwarded. |
05/16/2022
| Implemented |