| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | At the time of the inspection, there was a golf ball size amount of lint in the dryer, the appliance was not in use at the time. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Dryer vent was cleaned. |
07/29/2024
| Implemented |
| 6400.68(b) | At the time of the inspection, the hot water at the kitchen sink was 122.5 degrees Fahrenheit, the hot water at the bathroom sink was 122.5 degrees Fahrenheit and the hot water at the bathroom shower was 122.7 degrees Fahrenheit. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The Director of Operations will schedule with the agency maintenance contractor to adjust the water heater heating element/temperature to no more than 120 degrees Fahrenheit. |
07/29/2024
| Implemented |
| 6400.73(a) | At the time of the inspection, the handrail on the side porch was loose. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | The Director of Operations will contact and schedule with the agency maintenance contractor to tighten the handrails. |
07/29/2024
| Implemented |
| 6400.141(c)(1) | Individual #1's most recent physical completed on 5/22/24 did not include a review of the lifetime medical history. | The physical examination shall include: A review of previous medical history. | The Indv. #1 LMH was completed by the Lead Program Specialist on 07/19/2024 and will be submitted to the PCP for consideration at the next scheduled appointment on 08/12/2024. |
08/12/2024
| Implemented |
| 6400.141(c)(4) | Individual #1 has not had a vision or hearing screening in the last year. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | LPS established a new PCP for Indv. #1 and scheduled an appointment for 08/12/2024. The PCP will assess hearing and vision at that appointment and submit an addendum to the existing physical. |
08/12/2024
| Implemented |
| 6400.141(c)(12) | Individual #1's most recent physical does not document their physical limitations. | The physical examination shall include: Physical limitations of the individual. | LPS established a new PCP for Indv. #1 and scheduled an appointment for 08/12/2024. The PCP will assess physical limitations at that appointment and submit an addendum to the existing physical. |
08/12/2024
| Implemented |
| 6400.141(c)(14) | Individual #1's most recent physical does not document the information pertinent to treat/diagnose in the event of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | LPS established a new PCP for Indv. #1 and scheduled an appointment for 08/12/2024. The PCP will assess and make recommendations on medical information pertinent to diagnosis and treatment in case of emergency and submit an addendum to the existing physical. |
08/12/2024
| Implemented |
| 6400.141(c)(15) | Individual #1's most recent physical does not document their dietary information. | The physical examination shall include:Special instructions for the individual's diet. | LPS established a new PCP for Indv. #1 and scheduled an appointment for 08/12/2024. The PCP will make recommendation as to any special dietary information at that appointment and submit an addendum to the existing physical. |
08/12/2024
| Implemented |
| 6400.211(b)(1) | Individual #1's demographic information did not include the name, address, and phone number of who to call in an emergency. | Emergency information for each individual shall include the following: The name, address, telephone number and relationship of a designated person to be contacted in case of an emergency.
| Director of Operations revised the Individual Demographic Information template to specifically include an Emergency Contact section. Indv #1's Individual Demographic Information was updated to include an emergency contact. |
07/29/2024
| Implemented |