Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00251416 Renewal 08/20/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Individual #1 is provided a hospital bed, with attached bedrails, as a bed. This equipment was not prescribed by an authorized prescriber nor was it indicated in the Individual Support Plan, (ISP). Individual #2 is provided a hospital bed, with attached bedrails, as a bed. This equipment was not prescribed by an authorized prescriber nor was indicated in the Individual Support Plan, (ISP). Individual #3 is provided a hospital bed, with attached bedrails, as a bed. This equipment was not prescribed by an authorized prescriber nor was it indicated in the Individual Support Plan, (ISP).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. On August 22, 2024, 6400 Program Supervisor contacted Individual #1 PCP who prescribed and faxed a copy of the prescription for bedrails with the written diagnosis of 80.9. A copy of the script was sent to Individual #1 Support Coordinator to update in the Individual Support Plan usage of bedrails. On August 22, 2024, 6400 Program Supervisor contacted Individual #2 PCP who prescribed and faxed a copy of the prescription for bedrails with the written diagnosis of G80.9. A copy of the script was sent to Individual #2 Support Coordinator to update in the Individual Support Plan usage of bedrails. On August 22, 2024, 6400 Program Supervisor contacted Individual #3 PCP who prescribed and faxed a copy of the prescription for bedrails with the written diagnosis of G71.0. A copy of the script was sent to Individual #3 Support Coordinator to update in the Individual Support Plan usage of bedrails. 09/20/2024 Implemented
SIN-00212272 Renewal 09/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)Individual #1 was informed and explained individual rights on 1/21/22. The rights document did not include the following: 6400.32v··· their rights may only be modified to the extent necessary to mitigate a significant health and safety risk to the individual or others.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The Individual Rights Form has been redone to include language compliant with regulation 6400.32v. The new individual rights form will be reviewed with Individual # 1 by 10/17/22 and annually thereafter. The new individual rights form will be used for all individuals in the 6400 programs operated by Community Living & Learning effective 10/17/22. 10/17/2022 Implemented