| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(a) | The initial assessment for Individual #1 references an annual physical was performed on 1/31/2025 with PPD testing however there is no form documenting the physical on file. | An individual shall have a physical examination within 12 months prior to admission and annually thereafter. | On September 29, 2025, the Program Specialist received formal training on the requirements of § 6400.141(a). The individual has an appointment scheduled for 11/3/2025. |
11/03/2025
| Implemented |
| 6400.144 | A prn medication prescribed to Individual #1, Ondensetron 4mg tablet was not available in the home | 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.
| The medication was ordered and arrived at the site on September 25, 2025. |
09/25/2025
| Implemented |
| 6400.166(b) | On September 2nd the following medications were not signed for after administration was completed for Individual #1: Melatonin 1mg at 9pm, Glimepiride 4mg at 9pm, Janumet 50-100 at 9pm | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | On September 26, 2025, the DSP Staff received remedial medication documentation training on the requirements of § 6400.166 (b). |
09/26/2025
| Implemented |