| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.142(c) | 142c No annual teeth cleaning or exam on file
. | A written record of the dental examination, including the date of the examination, the dentist's name, procedures completed and follow-up treatment recommended, shall be kept. | The Executive Director failed to ensure individual #1 had an annual teeth cleaning completed and/or scheduled.
On 2/19/25 indiviual #1 had a dental exam completed. |
03/16/2025
| Implemented |
| 6400.142(f) | 142f No dental hygiene plan on file | An individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. | The Executive Director failed to ensure individual #1 had an annual dental exam and plan written by their dentist.
On 2/19/25 individual #1 written dental hygiene plan was completed by the Dentistry office. |
03/16/2025
| Implemented |
| 6400.165(c) | 165c Benzotropine still in blister pack from 8am dose. Individual William Mayhem did not receive prescribed dosage at prescribed time | A prescription medication shall be administered as prescribed. | On 11/14/24, Support staff failed to administer individual #1's 8:00am Benzotropine medication. Individual #1's doctor was notified of the missed dose of medication. The CEO reported the medication error in EIM. The support staff was reeducated on medication errors. |
11/14/2024
| Implemented |