| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | There were cobwebs hanging in the kitchen skylights and hanging from ceiling to light fixture above dining area table. There was dust buildup on the ceiling fan in bedroom. | Clean and sanitary conditions shall be maintained in the home. | Cleaning the skylights and ceiling fans will be added to the shift chore sheet.
The House manager will do a site check to make sure that all homes are cleaned once a week. |
04/01/2020
| Implemented |
| 6400.112(a) | There was no documentation that a fire drill was held in the month of February 2020. | An unannounced fire drill shall be held at least once a month. | The program Specialist and House Manger will ensure that an unannounced sleep drill occurs every six months. The program specialist will track all monthly drills through google calendars to ensure the dates are accurate |
04/01/2020
| Implemented |
| 6400.112(e) | June 10 2019 was the only documented sleep drill provided during licensing renewal. | A fire drill shall be held during sleeping hours at least every 6 months. | The program Specialist and House Manger will ensure that an unannounced sleep drill occurs every six months. The program specialist will track all monthly drills through google calendars to ensure the dates are accurate |
04/01/2020
| Implemented |
| 6400.144 | Upon review of medications: It can not be determined if individual 1 was given the medication vehlafaxine 375 mg on March 1-March 4 or was given his prescribed medication aripirazole 10 mg on March 4.
Vehlafaxine 375 mg and aripirazole 10 mg medication not signed out as given for March 1-March 4 on mediation administration record in home. Staff states that when they began a new blister-pack they send the log up to office with empty blister pack.
At the administrative office, only March 1-March 3 signed off for on aripirazole 10 mg. No medication administration record was found that has March 4 signed off for. No record was found that has March 1-March 4 signed out as given for venlafaxine 375 mg. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| A consultant will be reviewing all of Jami Residence training records to identify additional non compliances staff training. Retrain staff on required trainings if the Jami Residence staff is discovered to be out of compliance |
06/30/2020
| Implemented |