Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.22(e)(1) | The agency assumes the responsibility of maintaining Individual #1's financial resources, acting as their representative payee. On 11/6/24, the agency provided eleven receipts, spanning from 5/29/24 to 10/11/24, for purchases greater than $15. However, there were no ledgers or expense records kept for those months, including November 2024, to ensure all purchases greater than $15 had been accounted for. Therefore, receipts for purchases made by staff on behalf of Individual #1 or expense records for purchases greater than $15 have not been provided. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: A separate record of financial resources, including the dates and amounts of deposits and withdrawals. | On 11/13/2024, the agency implemented procedures to track individuals' expenses/transactions, including receipts, in addition to the current procedure individuals use to take out cash on hand. |
11/13/2024
| Implemented |
6400.62(a) | On 11/6/2024, at 9:47 AM, a 124-fluid ounce can of PPG interior latex paint was found unlocked and accessible on a shelf in the basement. Individual #1's assessment, completed 5/18/24, did not address if they are able to avoid or use poisonous substances. Individual #1's Individual Support Plan (ISP), last updated on 8/23/24, indicates that poisonous substances are kept locked in Individual #1's home. | Poisonous materials shall be kept locked or made inaccessible to individuals. | On 11/7/2024, all poisons in the basement (attachment A. 6) were discarded or placed in a locked storage closet at the home. |
11/07/2024
| Implemented |
6400.64(f) | On 11/6/2024, at 9:39 AM, one of outside trash receptacles located by the detached garage was uncovered, providing exposure to a crumpled-up Burger King fast food bag, a plastic Burger King cup, a plastic water bottle, a paper package of Pepperidge Farm cookies, and other refuse. The other outside trash receptacle located by the detached garage had a white garbage bag protruding out from its top, preventing the lid from closing. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | The receptable's lid was closed on 11/6/24. The agency repositioned the trash receptables on the opposite side of the home's garage to prevent future unwanted openings of the receptible. |
11/06/2024
| Implemented |
6400.66 | On 11/6/2024, at 10:08 AM, the attic did not have an operable light. On 11/6/2024, at 9:37 AM, the outside light receptacle above the kitchen door located on the side of the home was inoperable, and there was no other sufficient lighting source nearby. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| On 11/6/2024, the agency installed an operable light above the entrance on the side of the home.
On 11/8/24, the light bulb was replaced in the attic of the home. |
11/08/2024
| Implemented |
6400.72(a) | On 11/6/2024, at 9:56 AM, the window located to the right of the full bathroom's doorway that is adjacent to the tub did not have a screen that was secure, leaving a one-foot-by-two-foot gap above the under-sized screen that is currently installed. On 11/6/2024, at 10:02 AM, both windows in the spare bedroom located directly across from the steps on the upper level did not have screens that was secure, leaving 1.5-foot-by-2-foot gaps above the under-size screens that are currently installed. On 11/6/2024, at 10:00 AM, there was a half-inch wide gap measuring about one foot in height, revealing exposure to the outside on both sides of the air conditioning unit installed in the window located to the right of the bedroom's entryway. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | On 11/26/2024, the agency securely installed a new screen in the restroom window adjacent to the tub (see attachment A. 2).
On 11/20/24, the agency ordered the installation of three new windows for the spare bedrooms' windows (See attachment B).
On 11/8/24, the a/c unit was removed from the window in the bedroom. |
11/26/2024
| Implemented |
6400.74 | On 11/6/2024, at 9:50 AM, each tread on the first interior set of four stairs and on the second set of seven interior stairs leading to the basement do not have a nonskid surface. | Interior stairs and outside steps shall have a nonskid surface.
| On 11/11/24, nonskid strips were placed on both sets of stairs in the basement stairway (see attachment a, 3 & 4). |
11/11/2024
| Implemented |
6400.80(a) | On 11/6/2024, at 9:37 AM, the home's side walkway was obstructed with overgrown vegetation, covering an area of approximately two feet in length. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | On 11/11/24, the vegetation on the side of the house was removed so that the walkway on the side of the house was safe and free of hazards (attachment A. 11). |
11/11/2024
| Implemented |
6400.101 | On 11/6/2024, at 10:15 AM, there was a door to a room located in the basement, measuring six feet by ten feet, that was locked with a metal latch secured by a Master pad lock requiring a key for disengagement. This creates a possible entrapment risk. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| The pad lock was removed from the storage room on 11/13/24 (Attachment A. 5). |
11/13/2024
| Implemented |
6400.111(a) | On 11/6/2024, at 10:08 AM, the attic did not have an operable fire extinguisher with a minimum 2-A rating. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | On Friday, 11/15/24, the agency's fire extinguisher contractor installed an extinguisher in the attic (attachment A. 7). |
11/15/2024
| Implemented |
6400.181(e)(6) | Individual #1's assessment, completed on 5/18/24, did not address their ability to safely use or avoid poisonous materials when in the presence of such substances. | 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. | On 11/10/24, the assessment was amended to reflect the individual's ability to recognize, avoid, and use poisonous substances by the CCO/COO. The assessment was sent to the individual's support's coordinator to append the ISP. (Attachment C). |
11/10/2024
| Implemented |
6400.181(e)(12) | Individual #1's assessment, completed on 5/18/24, did not address recommendations for specific areas of training, programming, and services. Under this section, the assessment reads, "No recommendations of any further training, programming, or vocational services for [Individual #1]." | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | On 11/10/24, the assessment was amended to include recommendations for specific areas of training, programming, and services by the CCO/COO. The assessment was sent to the individual's support's coordinator to append the ISP. (Attachment C). |
11/10/2024
| Implemented |
6400.181(e)(14) | Individual #1's assessment, completed on 5/18/24, displayed the following contradictory information regarding their ability to swim, therefore, leaving this safety domain unaddressed: Under the section, "Progress Report of the Past Year," the assessment explains that Individual #1 "can swim on [their] own." However, under the section entitled, "Strengths," the assessment informs that Individual #1 "cannot swim on [their] own." | 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. | On 11/10/24, the assessment was amended to include the individual's progress over the last year and current level in knowledge of water safety and ability to swim by the CCO/COO. The assessment was sent to the individual's support's coordinator to append the ISP. (Attachment C). |
11/10/2024
| Implemented |
6400.32(r)(4) | On 11/6/2024, at 10:01 AM, Individual#1's bedroom door was equipped with a key lock on its entry side. However, since direct service workers who provide services to Individual #1 did not have possession of the key or entry device to lock and unlock the door to allow easy and immediate access by staff persons in the event of an emergency. | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | On 11/25/24, the door handle was replaced with a key lock door handle. Keys to the door were copied and labeled by the program specialist. One key was given to the individual. One was placed on the staff keys in the home. One key was placed in the on-call bag. A master copy is kept at the administrative office. |
11/25/2024
| Implemented |
6400.32(r)(5) | On 11/6/2024, at 10:01 AM, Individual #1's bedroom door was equipped with a key lock on its entry side. However, direct service workers who provide services to Individual #1 did not have possession of the key or entry device to lock and unlock the door. | Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. | On 11/25/24, the door handle was replaced with a key lock door handle. Keys to the door were copied and labeled by the program specialist. One key was placed on the staff key ring. |
11/25/2024
| Implemented |
6400.163(d) | On 11/6/2024, at 9:55 AM, the home's first aid kit located in the living room had the following unlocked over-the-counter medications: five packets of Aspirin, each containing two 325 mg tablets; and four packets of Acetaminophen, each containing two 325 mg tablets. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | On 11/6/24, the medications were removed from the first aid kit at this location and all other service locations by the House Manager or Site Supervisor. |
11/06/2024
| Implemented |
6400.182(c) | Individual #1's assessment, completed on 5/18/24, and their Individual Support Plan, last updated on 8/23/24, differed in the safety domains of poisonous substances and water safety. Individual #1's Individual Support Plan (ISP) states that poisonous substances are kept locked in the home, while their assessment does not. Individual #1's assessment informs that they do not understand knowledge of general water safety, while their Individual Support Plan explains, Individual #1 knows basic water safety rules. Individual #1's assessment contains contradictory information on their ability to swim, stating in different sections that they both can and cannot swim, while their Individual Support Plan informs, they are "able to swim but should receive monitoring within line of sight around swimming pools and large bodies of water." | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | On 11/10/24, the assessment was amended to correct the discrepancies in information in the assessment and the ISP by the CCO/COO. The assessment was sent to the individual's support's coordinator to append the ISP. (Attachment C). |
11/10/2024
| Implemented |