| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | There was a container of disinfecting wipes in the bathroom, and they were locked up during the inspection. | Poisonous materials shall be kept locked or made inaccessible to individuals. | The house supervisor went on 4/17/25 and removed the poisonous materials that were kept unlocked and locked them up in a lockbox and thereby made them inaccessible to individuals in the home. |
05/15/2025
| Implemented |
| 6400.171 | There was a package of meat in the freezer that was opened and some of the meat was removed and when the package was put back into the freezer it was not fully wrapped as some of the remaining meat was exposed. It was removed and disposed of during the inspection.
There were two unopened packages of deli meet in an inoperable refrigerator for two days. They were removed and disposed of during the inspection.
There was a cooked piece of chicken in a food storage container in the freezer that did not have a label of when it was stored. It was removed and disposed of during the inspection. | Food shall be protected from contamination while being stored, prepared, transported and served.
| The LSHS house supervisor went on 4/17/25 and repackaged the meat in a Ziplock bag and dated the bag to ensure that the remaining meat was fully wrapped and placed back in the freezer. |
05/15/2025
| Implemented |
| 6400.167(a)(1) | The PRN medication, Acetaminophen, for individual1 was signed off on the MAR seven times (3 times on 04/15/25, 3 times on 04/16/25, and 1 time on 04/17/25) but only five doses were missing from the blister pack. | Medication errors include the following: Failure to administer a medication. | The LSHS house supervisor went on 4/17/25 and checked the PRN medication, Acetaminophen for the individual was accurately signed off on 4/15/25, once one time on 4/16/25 and one time on 4/17/25 with the right number of doses that were missing. The LSHS house supervisor will ensure the accurate doses are given to the individual from the blister pack with accurate signatures on the MAR. |
05/15/2025
| Implemented |