| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(e) | On 5/01/2024, there was a trash receptacle in the kitchen filled with garbage that was approximately 25 inches tall with no lid. | Trash receptacles over 18 inches high shall have lids. | Purchased all new garbage cans with lids, and ensured all lids were properly installed on the respective garbage cans immediately upon receipt. [During the unannounced monitoring inspection that occurred on 9/27/2024 this regulation was identified as non-compliance during home inspections. Therefore the POC could not be verified as implemented. DPOC by HDKP, HSLS, on 10/18/2024]. |
06/06/2024
| Not Implemented |
| 6400.64(f) | On 5/01/2024, the side porch of the home has a trash receptacle that is approximately 28 inches high and does not have a lid. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | Found lid in the yard and placed the lid back on. [During the renewal inspection that occurred on 8/6-7/2024 this regulation was identified as non-compliance during home inspections. Training documents provided by the provider did not address the requirements of 6400.50(a), as the documents did not include the content of the training; therefore compliance could not be measured and implementation could not be verified. DPOC by HDKP, HSLS, on 10/18/2024]. |
05/14/2024
| Not Implemented |
| 6400.80(b) | On 5/01/2024, the exterior siding located in the front of the home has the following phrase written in black sharpie: "Thought full need the is comping is not good do not work here." There are multiple cigarette butts located in the side yard of the home. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | The siding was repainted and restored back to its original condition. A through clean -up was done to the yard to remove the cigarettes butts. [During the renewal inspection that occurred on 8/6-7/2024 this regulation was identified as non-compliance during home inspections. Training documents provided by the provider did not address the requirements of 6400.50(a), as the documents did not include the content of the training; therefore compliance could not be measured and implementation could not be verified. DPOC by HDKP, HSLS, on 10/18/2024]. |
05/22/2024
| Not Implemented |
| 6400.171 | On 5/01/2024, the kitchen of the home contained Market Side Blueberry Streusel Muffins with a best by date of 4/24/2024. The kitchen also contained Market Side Chocolate Chip Muffins with a best by date of 4/26/2024. | Food shall be protected from contamination while being stored, prepared, transported and served.
| The baked goods were thrown away immediately. [During the renewal inspection that occurred on 8/6-7/2024 this regulation was identified as non-compliance during home inspections. Training documents provided by the provider did not address the requirements of 6400.50(a), as the documents did not include the content of the training; therefore compliance could not be measured and implementation could not be verified. DPOC by HDKP, HSLS, on 10/18/2024]. |
05/20/2024
| Not Implemented |
| 6400.32(h) | Individual #1 was subject to audio and video recording in their home through 4/26/2024. The practice of audio and video recording was being utilized by the agency throughout all of their licensed residential homes. | An individual has the right to privacy of person and possessions. | The audio was immediately shut down to cease any further audio recording. All residents were informed about the incident and signed a new camera Policy/Procedure. |
04/26/2024
| Implemented |
| 6400.166(b) | Individual #1 is prescribed Refresh Opti Drops 0.5 - 0.9% with directions to instill one drop into each eye twice a day for dry eyes. This medication was not documented as administered on 5/01/2024 at 8:00 AM. Numerous medications for Individual #1 were not documented as administered on 4/30/2024 at 8:00 AM. These medications include, but are not limited to, Clonazepam Tab 0.5 MG with directions to take one tablet by mouth twice a day for anxiety, Colestipol Tab 1 GM with directions to take one tablet by mouth twice a day for cholesterol, and Famotidine Tab 40 MG Tablet with directions to take one tablet by mouth twice a day for GERD. Individual #1 is prescribed Colestipol Tab 1 GM with directions to take 1 tablet by mouth twice a day for cholesterol. This medication was not documented as administered on 4/27/2024 at 8:00 PM. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | To ensure all medications administered are properly documented by staff initialing the MAR and the blister pack right after administration. [During the unannounced monitoring inspection that occurred on 9/27/2024 this regulation was identified as non-compliance during home inspections. Therefore the POC could not be verified as implemented. DPOC by HDKP, HSLS, on 10/18/2024]. |
06/04/2024
| Not Implemented |