| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(11) | Individual #1's physical examination completed 11/25/24 did not include an assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. This section was not on the form. | 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. | BrightPath Human Services Program Manager requested a new physical to be completed for individual #1 while hospitalized to bring 6400.141(c)(11) into compliance. The new physical was completed on 7/28/2025. This citation occurred due to physical not being on BrightPath's approved annual physical form. The new physical was completed on the new physical form that includes 6400.141(c)(11). All physical forms were reviewed by BHSL of current individuals during the annual licensing. This was confirmed by executive director on 7/30/2025. All physical forms were reviewed by executive director, no other issues noted outside of what was cited during licensing. Confirmed on 7/30/2025 |
08/04/2025
| Implemented |
| 6400.141(c)(12) | Individual #1's physical examination completed 11/25/24 did not include physical limitations. This section was not on the form. | The physical examination shall include: Physical limitations of the individual. | BrightPath Human Services Program Manager requested a new physical to be completed for individual #1 while hospitalized to bring 6400.141(c)(12) into compliance. The new physical was completed on 7/28/2025. This citation occurred due to physical not being on BrightPath's approved annual physical form. All individuals receiving services physical forms were reviewed by BHSL representatives during BrightPath's annual licensing. This was confirmed by executive director on 7/30/2025. All physical forms were reviewed by executive director, no other issues noted outside of what was cited during licensing. Confirmed on 7/30/2025 |
08/04/2025
| Implemented |
| 6400.141(c)(14) | Individual #1's physical examination completed 11/25/24 did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was not on the form. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | BrightPath Human Services Program Manager requested a new physical to be completed by individual #1 was hospitalized to bring 6400.141(c)(14) into compliance. The new physical was completed on 7/28/2025. This citation occurred due to physical not being on BrightPath's approved annual physical form. All individuals served currently were reviewed during this annual licensing. This was confirmed by executive director on 7/30/2025. All physical forms were reviewed by executive director, no other issues noted outside of what was cited during licensing. Confirmed on 7/30/2025. Additionally, BrightPath Human Services was cited due to missing an area on the their annual physical form for 6400.141(c)(14). This has been corrected, trained on and implemented to Program Managers, Program Directors, Director of IDD Services and Nursing on 7/31/2025 & 8/4/2025. This POC is listed within the same CLS document. |
08/04/2025
| Implemented |
| 6400.141(c)(15) | Individual #1's physical examination completed 11/25/24 did not include special instructions for the individual's diet. This section was not on the form. | The physical examination shall include:Special instructions for the individual's diet. | BrightPath Human Services Program Manager requested a new physical to be completed by individual #1 was hospitalized to bring 6400.141(c)(15) into compliance. The new physical was completed on 7/28/2025. This citation occurred due to physical not being on BrightPath's approved annual physical form. All individuals served currently were reviewed during this annual licensing. This was confirmed by executive director on 7/30/2025. All physical forms were reviewed by executive director, no other issues noted outside of what was cited during licensing. Confirmed on 7/30/2025 |
08/04/2025
| Implemented |