| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | On 1/26/2023 the hot water temperature measured 128.1°F at the kitchen sink at 10:21AM. The hot water temperature measured 126.1°F at the bathtub in the second-floor bathroom. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Water temperature regulators will be installed at the bathtub and kitchen sink. |
03/02/2023
| Implemented |
| 6400.72(a) | Individual #1's bedroom window, to the right of her bed, did not contain a screen. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Bedroom window, right to the bed screen will be replaced to ensure the safety of the individual. |
02/16/2023
| Implemented |
| 6400.101 | The door leading to the basement floor, had a turn lock on the outside of the door, and if engaged a person could be locked in the basement with no other exit route to the outside. The door leading from the basement to the garage door had a turn lock which if engaged could lock someone in the garage with no man door as an exit to the outside. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| The turn lock knobs have been changed to closet door knobs at the kitchen door leading to the basement and the door in the basement leading to the garage.
Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. |
02/16/2023
| Implemented |
| 6400.111(e) | The fire extinguisher located in the kitchen was locked under the kitchen sink with a child's safety lock and was not accessible. | A fire extinguisher shall be accessible to staff persons and individuals. | Fire extinguishers will be accessible to staff persons and individuals. Child safety locks were removed from cabinet doors. |
01/16/2023
| Implemented |
| 6400.112(d) | The fire drills conducted 11/06/2022 and 1/09/2023 had the exit route documented as garage and there is no man door in the garage to the outside. | Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. | Quick Care Homes will ensure individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. |
01/26/2023
| Implemented |
| 6400.141(c)(11) | Individual #1's physical examination completed 9/07/2022 did not include the medication regimen. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. [Immediately, the CEO or designee shall train all staff responsible for completing appointments on the requirements under 6400.141. Immediately then continuing quarterly for one year, the CEO or designee shall audit all individual records to ensure the physical examination meet all of the requirements under 6400.141. Documentation of all trainings and audits shall be kept. (DPOC by RM, HSLS on 2/22/2023)] | Quick Care Homes shall ensure the physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. |
02/08/2023
| Implemented |
| 6400.181(a) | Individual #1, date of admission 9/07/2022, had an initial assessment completed 11/07/2022. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. | Quick Care Homes will ensure each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. |
02/10/2023
| Implemented |
| 6400.181(e)(9) | Individual #1's assessment completed 11/07/2022 did not include documentation of the individual's disability. | The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. | Quick Care Homes to ensure the assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. |
02/10/2023
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1's assessment completed 11/07/2022 did not include the individual's current level in financial independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| Quick Care Homes will ensure the assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. |
02/10/2023
| Implemented |
| 6400.165(f) | Individual #1 is prescribed Duloxetine 20mg and Trazadone 100mg for depression and there is not a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. | Quick Care Homes will ensure if a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. |
03/30/2023
| Implemented |
| 6400.165(g) | Individual #1, date of admission 9/07/2022, had a psychiatric medication review completed 1/18/2023 and nothing prior "Repeated Violation-2/17/2022". | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | Quick Care homes will ensure If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. |
02/10/2023
| Implemented |