Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.71 | There was no emergency telephone numbers on or by the telephone in the home. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| On September 26, 2024, the agency program specialist proactively ensured safety by placing a comprehensive list of emergency telephone numbers, including those for the nearest hospital, police department, fire department, ambulance, and poison control center, in a readily accessible location near the phone for both the individual and staff. |
07/28/2024
| Implemented |
6400.76(a) | The towel rack in the bathroom was broken and unable to support any towels. | Furniture and equipment shall be nonhazardous, clean and sturdy. | On September 25, 2024, the agency's executive director took decisive action by collaborating with the maintenance team to effectively repair the unstable towel rack in the bathroom. This proactive intervention ensured the rack could reliably support towels, demonstrating Lifetime Skills' commitment to maintaining a functional and safe environment. |
09/25/2024
| Implemented |
6400.77(b) | There were no tweezers in the first aid kit. | 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. | The residential team, supervised by the ED, replaced the missing tweezers in the first aid kit on 9/25/2024. |
09/25/2024
| Implemented |
6400.105 | The dryer lint trap was full of lint. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.
| After discovering lint in the dryer, the staff promptly cleaned it and ensured the dryer remained lint-free. |
09/28/2024
| Implemented |
6400.110(a) | The home smoke detector was inoperable. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | On September 25, 2024, our maintenance technician and residential manager identified an inoperable smoke detector in the home due to a dead battery. They promptly replaced the battery, ensuring the smoke detector is now fully functional and operational. |
09/28/2024
| Implemented |
6400.32(d) | The agency needs to train staff on the proper response to deescalate persons served with severe psychiatric diagnoses. | An individual shall be treated with dignity and respect. | On September 27, 2024, the residential manager conducted a training session for all Lifetime Skills staff, emphasizing the importance of recognizing and upholding individuals' rights. The session focused on ensuring that staff understand how to treat individuals with dignity and respect. |
09/28/2024
| Implemented |