Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.64(a) | The upper interior surface of the home's kitchen microwave was covered with small brownish discolorations in a spatter pattern consistent with food material spatter. The lower surface of the microwave's interior was brown and discolored. The surfaces of this microwave were not clean and sanitary. | Clean and sanitary conditions shall be maintained in the home. | the staff had a meeting to review the new chore list that has been implemented for compliance with appliances being clean and sanitary. |
05/16/2025
| Implemented |
6400.64(c) | At the time of inspection, there were two plastic recycling bins filled with deconstructed cardboard located in the side yard of the home. The pieces of cardboard were water-damaged, torn, dissolved, and distressed in a way that suggested that they had been there for a long period of time. When asked how long the cardboard had been located there, provider staff were unable to supply a clear answer. This trash was not removed from the premises at least once per week as required. | Trash shall be removed from the premises at least once per week. | the staff removed the cardboard the next day with the weekly trash removal. |
05/16/2025
| Implemented |
6400.66 | At the time of inspection, there was no lightbulb screwed into the only lighting fixture found in the rear of the home, which was located outside of the home's back door on the rear deck. There was no other lighting in the rear of the home that could provide illumination for the home's backyard. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| a light bulb was put into the light fixture as soon as the inspector left. |
05/16/2025
| Implemented |
6400.67(b) | The home's dryer lint trap was overflowing with dryer lint at the time of inspection. Once collected and condensed, this thick, dense dryer lint was as large as a softball. The dryer lint trap being filled in this manner increased the risk of a fire occurring within the home and, therefore, constituted a fire hazard. | Floors, walls, ceilings and other surfaces shall be free of hazards. | after each use of the dryer staff will be cleaning the lint trap to avoid any fire hazards, this will be documented on the chore list for staff to complete daily. |
05/16/2025
| Implemented |
6400.72(a) | At the time of inspection, one of the windows in the home's attic was missing a window screen. As there was no window screen that could be fit into this window's frame if it were to be opened, this window was incapable of being securely screened. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | the window screen has been replaced at this time. |
05/16/2025
| Implemented |
6400.72(c) | The home's basement had a wooden door that led to an exit stairway then up to Bilco-style hatch doors that opened into the home's backyard. Neither the Bilco-style hatch doors nor the wooden door had an operable locking mechanism, leaving this area of the home susceptible to intrusion. | Outside doors shall have operable locks. | the landlord is replacing the door for a more sturdy door for the basement coal ben. the door has a lock on it. |
05/16/2025
| Implemented |
6400.73(a) | The home's basement had a wooden door that led to an exit stairway then up to Bilco-style hatch doors that opened into the home's backyard. The stairway leading out of this egress, which exceeded two steps, was not equipped with a handrail. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | the landlord has added a hand rail to the one side of the stairs to maintain compliance. |
05/16/2025
| Implemented |
6400.82(f) | At the time of inspection, the home's bathroom lacked individual clean paper or cloth towels and a trash receptacle | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | a chore list has been implemented to make sure that each bathroom and kitchen has paper towels and a garbage receptacle. |
05/16/2025
| Implemented |
6400.112(c) | The written Fire Drill Record for this location was missing the Evacuation Time of the fire drill that occurred on 12/16/2024. The area of the "Fire Drill and Safety System" form designated for this information was blank. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | the fire drills have been added to our electronic records and it will not save unless each section has been filled in for compliance. |
05/01/2025
| Implemented |
6400.141(c)(1) | The Physical Form associated with Individual #2's 09/20/2024 Annual Physical Examination was missing the following information: a review of the individual's previous medical history. This Physical Form listed only one of the individual's medical diagnoses in the designated section of the form. Per other medical documentation in the Individual Record, the individual does have additional health diagnoses. As information on the individual's other
established diagnoses was not found elsewhere on the Physical Form or accompanying documentation, there was no evidence that this information was reviewed by the medical professional during the visit. | The physical examination shall include: A review of previous medical history. | the director will verify all forms are accurately and complexly completed prior to excepting a new individual into ARS. |
05/16/2025
| Implemented |
6400.141(c)(3) | The Physical Form associated with Individual #2's 09/20/2024 Annual Physical Examination was missing the following information: the individual's immunization history. The area of the Physical Form designated for this information was left blank, stating "See Attached." Information related to the individual's immunization history was not found elsewhere on the Physical Form or attached to it. | The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | the director will verify all forms are accurately and complexly completed prior to excepting a new individual into ARS. |
05/16/2025
| Implemented |
6400.141(c)(11) | The Physical Form associated with Individual #2's 09/20/2024 Annual Physical Examination was missing the following information: the individual's medication regimen. The area of the Physical Form designated for this information was left blank, stating "See Attached." Information related to the individual's medications was not found elsewhere on the Physical Form or attached to it. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | all "see attached" will be checked by the program specialist prior to them being uploaded into the electronic health record. |
05/16/2025
| Implemented |
6400.141(c)(15) | Individual #1's most recent Physical Examination, dated 02/07/2025, did not include special instructions for the individual's diet. This area of the physical form was left blank by the medical professional completing the form. | The physical examination shall include:Special instructions for the individual's diet. | the program specialist will check all forms prior to them being uploaded into the electronic health record for accuracy and completions of the forms. |
05/16/2025
| Implemented |
6400.144 | Per Individual #1's April 2025 Medication Administration Record (MAR), Individual #1 is prescribed Trulicity 3MG/0.5ML SOPN, "Inject 3mg (0.5ml) subcutaneously once a week (DX: Diabetes)." At the time of inspection, this medication could not be located within the home. Provider staff reported that the medication had not been filled due to issues with the pharmacy accepting the individual's insurance coverage. At the time of inspection, no alternative arrangements had been made by the provider to ensure that this medication prescribed for the individual was obtained for the individual. The provider failed to secure pharmaceutical services for the individual as required. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| approval of the medication was given and the doctor gave a 5 day window to ARS for the medication to be given to this individual prior to it becoming a medication error. |
05/16/2025
| Implemented |
6400.32(c) | Per Individual #1's April 2025 Medication Administration Record (MAR), Individual #1 is prescribed Trulicity 3MG/0.5ML SOPN, "Inject 3mg (0.5ml) subcutaneously once a week (DX: Diabetes)." At the time of inspection, this medication could not be located within the home. Provider staff reported that the medication had not been filled due to issues with the pharmacy accepting the individual's insurance coverage. At the time of inspection, no alternative arrangements had been made by the provider to ensure that this medication prescribed for the individual was obtained for the individual. By failing to ensure that the individual had access to the individual's medically necessary Diabetes medication to use as directed by the individual's physician, the Provider Agency neglected the individual and put the individual's health and safety at risk. | An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. | approval of the medication was given and the doctor gave a 5 day window to ARS for the medication to be given to this individual prior to it becoming a medication error. |
05/16/2025
| Implemented |
6400.46(b) | Per the Staff Record, Staff #1's most recent Fire Safety training was completed on 09/23/2023. As there was no record of a more recent training, Staff #1 did not complete Fire Safety training annually as required. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | a fire safety test was completed for all staff to complete at time of orientation and annually thereafter to stay in compliance with the regulations. |
05/16/2025
| Implemented |
6400.165(c) | Per Individual #1's April 2025 Medication Administration Record (MAR), Individual #1 is prescribed Trulicity 3MG/0.5ML SOPN, "Inject 3mg (0.5ml) subcutaneously once a week (DX: Diabetes)." At the time of inspection, this medication could not be located within the home. Provider staff reported that the medication had not been filled due to issues with the pharmacy accepting the individual's insurance coverage. At the time of inspection, no alternative arrangements had been made by the provider to ensure that this medication prescribed for the individual was obtained for the individual. The staff initial box associated with the 8:00am administration time for this medication on 04/10/2025 was left blank. Provider staff confirmed that this administration of the medication to the individual was missed due to the medication being absent from the home at the time of administration. This medication was not administered to the individual as prescribed. | A prescription medication shall be administered as prescribed. | approval of the medication was given and the doctor gave a 5 day window to ARS for the medication to be given to this individual prior to it becoming a medication error. |
05/16/2025
| Implemented |
6400.166(a)(11) | The following prescription medication entries on Individual #1's April 2025 Medication Administration Record (MAR) were missing a diagnosis or reason for prescribing the medication: 1. Daysee 0.15-0.03-0.01 MG TA -- "Take 1 tablet by mouth every morning" 2. Benzoyl Peroxide Wash 5% L -- "Leave on for 5 minutes then rinse affected area every evening rinse thoroughly-product will bleach"
The following prescription medication entries on Individual #2's April 2025 MAR were missing a diagnosis or reason for prescribing the medication: 1. Estarylla 0.25-35 MG-MCG Tab -- "Take 1 tablet by mouth every morning" 2. Ammonium Lactate 12% Cream -- "Apply to feet twice a day *Avoid applying between the toes*" 3. Clotrimazole 1% Cream -- "Apply Topically to affected area on the skin daily" | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | the med trainer at the end of the month will look at each individual's medications and the new packs being sent form the pharmacy and the trainer will make sure that all entries on the MAR are accurate and have a diagnosis for the medication listed for each medication. |
04/28/2025
| Implemented |
6400.167(b) | Per Individual #1's April 2025 Medication Administration Record (MAR), Individual #1 is prescribed Trulicity 3MG/0.5ML SOPN, "Inject 3mg (0.5ml) subcutaneously once a week (DX: Diabetes)." At the time of inspection, this medication could not be located within the home. Provider staff reported that the medication had not been filled due to issues with the pharmacy accepting the individual's insurance coverage. At the time of inspection, no alternative arrangements had been made by the provider to ensure that this medication prescribed for the individual was obtained for the individual. The staff initial box associated with the 8:00am administration time for this medication on 04/10/2025 was left blank. Provider staff confirmed that this administration of the medication to the individual was missed due to the medication being absent from the home at the time of administration. There was no notation on the MAR or documentation found within the Individual Record to record that the medication was omitted, held, or otherwise missed, nor was it noted that the provider had followed up with the individual's prescribing physician for this medication when the dose was missed. There was no documentation of follow-up by the provider. This medication administration error was not recorded in the individual's Individual Record by the Provider in the manner required. | Documentation of medication errors, follow-up action taken and the prescriber's response, if applicable, shall be kept in the individual's record. | one of the med trainers will be reviewing the MAR's for compliance throughout the month to make sure that all documentation is being documented accurately. |
05/16/2025
| Implemented |
6400.167(c) | Per Individual #1's April 2025 Medication Administration Record (MAR), Individual #1 is prescribed Trulicity 3MG/0.5ML SOPN, "Inject 3mg (0.5ml) subcutaneously once a week (DX: Diabetes)." At the time of inspection, this medication could not be located within the home. Provider staff reported that the medication had not been filled due to issues with the pharmacy accepting the individual's insurance coverage. At the time of inspection, no alternative arrangements had been made by the provider to ensure that this medication prescribed for the individual was obtained for the individual. The staff initial box associated with the 8:00am administration time for this medication on 04/10/2025 was left blank. Provider staff confirmed that this administration of the medication to the individual was missed due to the medication being absent from the home at the time of administration. Per Provider staff, the Provider Agency was taking steps to secure the medication for the individual since the missed dose; in other words, the medication error had been known by the provider since at least the time of the missed medication administration on 04/10/2025 at 8:00am. At the time of inspection, there was no entry for this medication error in the Enterprise Incident Management (EIM) system, exceeding the 72-hour time frame that began with the discovery of the incident by a Provider staff person on 04/10/2025 at 8:00am. | A medication error shall be reported as an incident as specified in § 6400.18(b) (relating to incident report and investigation). | the EIM was completed immediately when it was brought to the directors attention. |
05/16/2025
| Implemented |