| 6500.110(c) | Family members shall be trained within 31 calendar days of an individual living in the home and retrained annually in fire safety. Staff #1 had fire safety on 9/7/23 and not again until 9/30/24. This exceeds the requirement. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | The Lifesharing provider completed the required fire safety training for all family members immediately following the inspection. Documentation of completion has been obtained and filed in the home's training records. |
10/02/2025
| Implemented |
| 6500.135(c) | Individual #1 is prescribed Calcium 600-D3, take 1 tablet by mouth twice a day at 8am and 8pm. Individual #1's Medication Administration Record (MAR) documents the medication the same However, at the time of the inspection, located in Individual #1's current medication box was a bottle of the medication with a pharmacy label with a fill date of 7/16/25 and quantity of 60 on the label with the medication being approximately full. In another medication box in the home there were 2 other medication bottles with pharmacy labels with fill dates of 8/13/25 and 9/10/25, each with a quantity of 60 with the medication, and both bottles full.
Individual #1 is prescribed ferrous sulfate 325 mg, take 2 tablets by mouth once daily at 5pm. Individual #1's Medication Administration Record (MAR) documents the medication the same However, at the time of the inspection, located in Individual #1's current medication box was a bottle of the medication with a pharmacy label with a fill date of 7/16/25 and quantity of 60 on the label with the medication being approximately ½ full. In another medication box in the home there were 2 other medication bottles with pharmacy labels with fill dates of 8/13/25 and 9/10/25, each with a quantity of 60 with the medication, and both bottles full.
Individual #1 is prescribed loratadine 10 mg, take 1 tablet by mouth once daily. Individual #1's Medication Administration Record (MAR) documents the medication the same However, at the time of the inspection, located in Individual #1's current medication box was a bottle of the medication with a pharmacy label with a fill date of 7/16/25 and quantity of 30 on the label with the medication being approximately ½ full. In another medication box in the home there were 2 other medication bottles with pharmacy labels with fill dates of 8/13/25 and 9/10/25, each with a quantity of 30 with the medication, and both bottles full.
Individual #1 is prescribed Flintstone Plus Iron Chew, crush and give 1 tablet once daily. Individual #1's Medication Administration Record (MAR) documents the medication the same However, at the time of the inspection, located in Individual #1's current medication box was a bottle of the medication with a pharmacy label with a fill date of 7/16/25 and quantity of 30 on the label with the medication being approximately 1/4 full. In another medication box in the home there were 2 other medication bottles with pharmacy labels with fill dates of 8/13/25 and 9/10/25, each with a quantity of 30 with the medication, and both bottles full. The medications are not being administered as prescribed. | A prescription medication shall be administered as prescribed. | All medications have been reviewed and updated to ensure they are consistent with current prescriptions. Medication labels were corrected to reflect the current month. "Date Opened" labels have been purchased and applied to all applicable medications. In addition, the Lifesharing provider will transition from using pill bottles to pre-packaged medication packets to minimize errors and ensure accurate administration. |
10/03/2025
| Implemented |