| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | On 1/26/2023 the hot water temperature measured 143.4°F at the kitchen sink at 11:41AM. The hot water temperature measured 145.7°F at the bathtub in the first-floor bathroom in the home at 12:06PM. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Water temperature regulators will be installed at the bathtub and kitchen sink. |
03/02/2023
| Implemented |
| 6400.111(e) | The fire extinguisher located in the kitchen was locked under the kitchen sink with a child's safety lock and was not accessible. | A fire extinguisher shall be accessible to staff persons and individuals. | Fire extinguishers will be accessible to staff persons and individuals. Child safety locks were removed from cabinet doors. |
01/16/2023
| Implemented |
| 6400.112(c) | The fire drill conducted 11/01/2023 did not document the exit route used. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | Quick Care Homes will ensure a written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. |
02/13/2023
| Implemented |
| 6400.112(d) | The fire drill conducted 12/02/2022 had an evacuation time of 5 minutes, 35 seconds. The home does not have an extended evacuation time. | Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. | Quick Care Homes will ensure individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing
within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. |
02/13/2023
| Implemented |
| 6400.141(c)(11) | Individual #1's physical examination completed 4/15/2022 does not include the individual's medication regimen. | 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. | Quick Care Homes will ensure 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. |
02/13/2023
| Implemented |
| 6400.181(e)(5) | Individual #1's assessment completed 6/18/2022 did not include the individual's ability to self-administer medications. It was answered not applicable. | The assessment must include the following information: The individual's ability to self-administer medications. | Quick Care Homes will ensure the assessment must include the following information: The individual's ability to self-administer medications. |
02/10/2023
| Implemented |
| 6400.181(e)(9) | Individual #1's assessment completed 6/18/2022 did not include documentation of the individual's disability. | The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. | Quick Care Homes will ensure the assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. |
02/10/2023
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1's assessment completed 6/18/2022 did not include the individual's current level in financial independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| Quick Care Homes to ensure the assessment must include the following information: The individual's progress over the
last 365 calendar days and current level in the following areas: Financial independence. |
02/10/2023
| Implemented |
| 6400.165(f) | Individual #1 is prescribed Haloperidol for mood disorder and the individual's individual support plan, last updated 6/18/2022, a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. | Quick Care Homes will ensure if a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. |
03/15/2023
| Implemented |
| 6400.165(g) | Individual #1's psychiatric medication reviews completed 6/30/2022, 10/26/2022, 12/07/2022, and 1/19/2023 did not include the medication names, the reason for prescribing, and the necessary dosage "Repeated Violation-2/17/22". | 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. | Quick Care Homes will ensure 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. |
02/10/2023
| Implemented |
| 6400.181(f) | Individual #1 had an annual individual support plan meeting 10/01/2022, and there is no documentation of Individual #1's assessment completed 6/18/2022, being sent to the plan team members. | The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. | Quick Care Homes to ensure the program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting. |
02/10/2023
| Implemented |
| 6400.182(c) | Individual #1's assessment completed 6/18/2022 states she requires 24/7 supervision in the community setting and the individual support plan, last updated 10/19/2022, does not document the individual's supervision needs in the community. Individual #1's assessment completed 6/18/2022 states she requires 24/7 supervision in the home and can spend time in bedroom alone but requires more intense supervision when she is depressed or has thoughts of self-harm. Individual #1's individual support plan, last updated 10/19/2022, states the individual has 24 hours of supervision in the home. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Quick Care Homes to ensure the individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. |
03/15/2023
| Implemented |