| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(e)(3) | Individual #1's financial record did not document a receipt for a $25.00 disbursement made in September 2016. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. | Individual 1 was reimbursed 25 dollars for the missing receipt. The Office Manager has been instructed to require that any expense over 15 dollars be reimbursed to the individuals unless there is appropriate documentation. |
07/19/2017
| Implemented |
| 6400.151(a) | Staff # 1's date of hire was 01/06/2016 and the physical exam was dated 01/06/2016. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | Staff 1 physical was completed prior to the start time ( the morning of the preservice training) rather than prior to the date of hire. No new hires shall be permitted to begin preservice training until after the date of their pre-employment physical.
Attachment A2 |
07/19/2017
| Implemented |
| 6400.151(b) | Staff # 1's physical exam dated 01/06/2016 was not dated by the physician when it was completed. | The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. | The Office Manager has been instructed to review all employee physicals to insure that all required information is completed. Any incomplete physicals shall be returned to the contracted Physician for completion.
Attachment A2 |
07/19/2017
| Implemented |
| 6400.181(e)(12) | Individual # 1's annual assessment dated 01/15/2017 did not document recommendations in the areas of training, programming and services. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | The Program Specialist has been instructed to complete the section of the assessment pertaining to recommendations for specific areas of training and programming prior to distributing the assessment to the team members, rather than waiting until the meeting and recording the consensus of the team with regard to approved outcomes.
Attachment A1 |
07/19/2017
| Implemented |