| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(14) | 141c 14 Medical information pertinent to diagnosis /treatment in case of emergency left blank on the current physical. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | 141c.14
The Individual's PCP was contacted on 6/4/24 in regard to updating the health assessment form noting the individual's diagnosis and treatment in case of emergency. Staff was able to pick up the updated copy on 6/5/24 and place on file at the residence. |
06/04/2024
| Implemented |
| 6400.181(a) | 181a Date of admission was 12/6/23, assessment was not completed at the time of review. (w/in 60 days of admissions). | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | 181.(a) The Individual's assessment was completed on 4/1/24 and sent to the support team to update the ISP. |
06/04/2024
| Implemented |
| 6400.217 | 217 Consent for release of information was not completed. | Written consent of the individual, or the individual's parent or guardian if the individual is 17 years of age or younger or legally incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it.
| 217.
The individual has reviewed and signed the release of information form on 4/1/24. Individual records are completed, updated and stored accordingly. |
06/04/2024
| Implemented |