Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | One slat on one set of venetian blinds in one of the home's bedrooms was cracked in half. | Floors, walls, ceilings and other surfaces shall be in good repair. | The blinds and windows were measured on 7/18/2024, and replacement blinds were ordered for the window in questions on 7/19/2024. They will be installed prior to admission, tentatively on 8/1/2024, but at the latest by 8/8/2024. |
08/08/2024
| Implemented |
6400.77(b) | At the time of inspection, the home's only first aid kit lacked a thermometer and a pair of scissors. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Scissors and a working thermometer were purchased and added to the first aid kit immediately after discovery that they were not part of the kit. This was done by Sumit Singh on 7/11/2024. |
07/11/2024
| Implemented |
6400.32(r) | The doors to the four bedrooms in the home lacked locking mechanisms on the doors or doorknobs. As such, an individual's right to lock their bedroom door could not be ensured for any individuals residing in these bedrooms. | An individual has the right to lock the individual's bedroom door. | At this time there are no residents in this home. As part of the admission evaluation process each individual admitted to the home will be assessed for the appropriate doorknob and lock to meet their individual needs as determined by the team drafting and creating the individual's service plan. |
08/01/2024
| Implemented |