| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(b) | There was no thermometer in the first aid kit at the home. | 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. | A Thermometer was place in first aid kit |
09/11/2023
| Implemented |
| 6400.151(a) | The Staff #2 did not have documentation that a physical examination was completed every two years. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | Staff#2 will have proper documentation indicating that a physical exam is completed every year. |
09/11/2023
| Implemented |
| 6400.151(c)(2) | TB was not completed every two years as required, last exam was completed 04/20/20 and not completed again until 04/28/23. for Staff #1 | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | CT will ensure that all staff have completed required tests to be a DSP |
09/11/2023
| Implemented |