| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | At 12:34 PM, the hot water temperature measured at 129.2 degrees Fahrenheit in the only bathtub in the main bathroom of the home. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | RMPC submitted a letter to the rental office stating that the water temperature was above 120 degrees and that the state requires that the water temperature cannot be above 120 degrees. RMPC also informed the rental office that because the complex only has one water heater and they control it that they must monitor that on an ongoing basis. RMPC continues to check the water temperature daily for accurate reading and should they default then RMPC would have no choice but to discontinue its rental agreement. RMPC is currently working with the rental office to come to some agreement to install temperature protector devices on bathroom faucets. This process is to be monitored by the Compliance Officer on a monthly basis.[Hot water temperatures from 5/31/17 to 6/7/16 have not exceeded 120°F. CEO or designee will train all staff on the procedures for measuring hot water temperature and procedures to address if the hot water temperature exceeds 120°F. At least weekly hot water temperature checks will be completed and documented by designated staff persons and documentation will be reviewed by the CEO at least monthly to ensure completion and hot water temperatures in bathtubs and showers do not exceed 120°F. (AS 6/27/16)] |
05/22/2016
| Implemented |
| 6400.141(c)(5) | The physical examination for Individual #1, completed 5/26/15 had the most recent Tdap immunization date of 1/27/98. | The physical examination shall include: Immunizations and screening tests for individuals 17 years of age or younger, as recommended by the Standards of Child Health Care of the American Academy of Pediatrics, Post Office Box 1034, Evanston, Illinois 60204. | RMPC has installed lap tops in all residential locations which included a Master Excel and Goggle spreadsheet to allow designated employees access to monitor all participants required annual appointments, required annual and bi-annual test, and follow-up appointments. This process shall be monitored by the Program Specialist on a monthly basis. [Individual #1 was discharge from the community home on 5/14/16. Immediately, CEO will develop, implement and train staff persons on the procedures of tracking system/spreadsheet to ensure all individuals physical examinations including immunization are completed within the required timeframes. CEO or compliance officer will review the tracking system and a 25% sample of individuals¿ physical examinations at least quarterly to ensure timely completion of physical examinations for all individuals. (AS 6/27/16)] |
05/22/2016
| Implemented |
| 6400.141(c)(6) | The physical examination for Individual #1, completed 5/26/15 did include a Tuberculin skin testing by Mantoux method with negative results. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | RMPC has installed lap tops in all residential locations which included a Master Excel and Goggle spreadsheet to allow designated employees access to monitor all participants required annual appointments, required annual and bi-annual test, and follow-up appointments. This process shall be monitored by the Program Specialist on a monthly basis. [Individual #1 was discharge from the community home on 5/14/16. Immediately and prior to submitting in the individuals' records, all physical examinations shall be reviewed by the CEO or designated staff person to ensure physical examinations include all required information including Tuberculin skin testing as required. CEO or compliance officer will a 25% sample of individuals' physical examinations at least quarterly to ensure physical examinations for all individuals contain all required information. Documentation of reviews shall be kept. (AS 6/27/16)] |
05/22/2016
| Implemented |