| 6500.109(d) | A fire drill in the home's fire drill record has a listed date of "7/2023." The date that this fire drill occurred within the month of July is not specified anywhere on the fire drill record. As such, a record of the date of this fire drill was not kept by the provider. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative. | The LSP will ensure that the Fire Drill record is completed thoroughly and it includes all information required including date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative. |
02/01/2024
| Implemented |
| 6500.110(c) | Staff #1's training record contained a fire safety training dated 01/20/2023; however, there were no records of previous trainings maintained in the staff record. As such, it could not be confirmed that Staff #1 was retrained in fire safety topics annually as required.
Individual #2's individual record contained a fire safety training dated 01/20/2023; however, there were no records of previous trainings maintained in the individual record. As such, it could not be confirmed that Individual #2 was retrained in fire safety topics annually as required. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | The Program Specialist will make sure that there are Fire safety training and any other necessary documentation kept in the individual and staff records for at least two years. |
02/01/2024
| Implemented |