| 6400.112(h) | Fire drills conducted on 8/26/24 and 9/8/24 only record staff's name for persons who were accounted for during the drill. There is no record of the individual's name who participated and evacuated the home to the designated meeting place. | Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill. | New fire drills formats were made so that the individuals name is present and these forms have been sent to each of our homes and a fire drill has been completed since. |
09/09/2025
| Implemented |
| 6400.145(1) | The emergency medical plan for this home states that "staff person should take the Individual to the nearest hospital location," followed by a list of 3 different hospitals. This emergency medical plan is not person-specific for the Individuals residing in the home listing their preferred hospital and transportation method. | The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. | LCSS administrative staff has met with each individual and have updated the emergency plan for each person specific to that individuals preference in which hospital and what method of transportation they prefer. |
09/09/2025
| Implemented |