| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(1) | Individual #1's physical examination completed 6/8/21 did not include a review of previous medical history. | The physical examination shall include: A review of previous medical history. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(3) | Individual #1's physical examination completed 6/8/21 did not include immunizations as recommended by the United States Public Health Service. | 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. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(4) | Individual #1's physical examination completed 6/8/21 did not include a vision or hearing screening. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(6) | Individual #1 began emergency respite placement on 4/20/21 and had an initial physical examination completed 6/8/21 with a Tuberculin skin testing by Mantoux method with negative results
completed on 6/10/21. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(11) | Individual #1's physical examination completed 6/8/21 did not include an assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | 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. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(12) | Individual #1's physical examination completed 6/8/21 did not include physical limitations of the individual. | The physical examination shall include: Physical limitations of the individual. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(14) | Individual #1's physical examination completed 6/8/21 did not include medical information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.141(c)(15) | Individual #1 physical examination completed 6/8/21 did not include special instructions for the individual's diet. | The physical examination shall include:Special instructions for the individual's diet. | ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.142(a) | Individual #1 began emergency respite placement on 4/20/21 and has not had a dental examination since admission. | An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | The individual's dental exam is scheduled for 2/9/2022. |
02/09/2022
| Implemented |
| 6400.251(b) | Individual #1 began emergency respite placement on 4/20/21 and had an initial physical examination completed 6/8/21. | If an emergency placement occurs, § 6400.141 (relating to individual physical examination) shall be met within 31 calendar days after placement.
| ¿ Nurse scheduled an appointment for individual 1 for 1/17/2022. |
01/17/2022
| Implemented |
| 6400.46(b) | Direct Service Worker #1 had fire safety training on 3/26/20 and then again on 9/30/21. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | The CEO updated training checklist to include all information required by the 6400 regulations. This CEO trained the Compliance Director on the annual training definition and all information that is required to be in staff¿s file. |
12/01/2021
| Implemented |