| 6400.110(b) | On 1/8/2025, at 1:35 PM, the closest smoke detector to Individual #1's bedroom door was located 16 feet 5 inches away. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | The smoke detector was moved so that it was within 15 feet of both bedrooms on 1/08/2025 by maintenance. |
01/08/2025
| Implemented |
| 6400.192 | On 1/8/2025, at 1:20 PM, sharp knives were being locked under the kitchen sink cabinet. Interviews revealed that the knives were being locked due to behavioral concerns for Individual #1. There is no restrictive procedure plan for Individual #1 in place. | The home shall develop and implement a written policy that defines the prohibition or use of specific types of restrictive procedures, describes the circumstances in which restrictive procedures may be used, the staff persons who may authorize the use of restrictive procedures and a mechanism to monitor and control the use of restrictive procedures. | After a team meeting which included the Program Manager and Behavior Specialist, it was determined that a restrictive procedure plan did not need to be implemented, and the knives were removed from the locked cabinet. |
01/09/2025
| Implemented |