| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.32 | The individual rights form does not contain the updated rights such as the individual's right to lock their bedroom door. | An individual may not be deprived of rights.
| All rights of the individuals were updated, and were reviewed with individuals on Monday April 10, 2023, and all individuals signed the forms the same day. See the attached documents. |
04/10/2023
| Implemented |
| 6400.62(a) | Poisonous materials were kept unlocked and was accessible to individual number 1 , his PICA states all poisons are to be kept locked. (Easy Off, Paint, soap) | Poisonous materials shall be kept locked or made inaccessible to individuals. | We will ensure that the poisonous materials are being kept locked from the individual in question, and the ISP has been updated to reflect what is documented in the individual's Assessment. The update was done on 4/17/2023. |
04/17/2023
| Implemented |
| 6400.65 | The fan in the bathroom was not operational, there was no window or mechanical ventilation. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| A work order was put in immediately and the needed repair was completed by the Maintenance Department of the Apartment Complex on 4/20/23. |
04/20/2023
| Implemented |
| 6400.141(c)(3) | Individual number 1 last Tdap immunization was in June 2012. This should be done every ten years. | 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 DTAP Immunizations for the individual in question was completed on April 12 at 10am. Please see attached documents. |
04/12/2023
| Implemented |
| 6400.165(g) | The psychotropic medication reviews for individual 1 were not completed every 90 days. One was held on 12/12/22, and the next one is not scheduled until 4/19/23. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The 90 days review for the individual picked was completed on April 19, 2023. See attached Document. |
04/19/2023
| Implemented |