| 6400.64(f) | On 5/29/2025 at 10:46am, three trash receptacles were observed near the curb in front of the home. The can in the middle was observed with the attached lid broken off the receptacle and trash to include a broken laundry basket was protruding from the top of the can. The trash was not kept in a closed receptacle to prevent the penetration of insects and rodents. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | On 5/29/2025, a broken trash receptacle was placed at the curb for pickup on 5/30/2025 by an individual who resides in the home. The broken trash receptacle was put at the curb to be taken by the garbage collector. The trash receptacle was taken by the garbage collector on 5/30/2025. |
05/30/2025
| Implemented |
| 6400.207(5)(III) | On 5/29/2025 at 11:54am, Individual #1's bed contained bilateral half-length bedrails that restricted the movement or function of the individual's body. Individual #1 has a diagnosis of cerebral palsy and requires bedrails to assure their safety by preventing them from falling out of bed. The agency obtained a prescription for bedrails on 5/6/2025. Although the bed rails are prescribed by a medical practitioner, Individual #1's most current assessment dated 8/6/2024 and support plan last updated 1/22/2025 do not address if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #1's support plan last updated 1/22/2025 does not include periodic relief of the device to allow freedom of movement. | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | The Program Specialist updated the individual # 1¿s ISP assessment and submitted the revisions to the Supports Coordinator on 6/12/25, that stated individual # 1 is diagnosed with CP and requires bed rails to assure their safety by preventing them from falling out of bed per their PCP. Individual #1 is unable to remove the bedrails independently however s/he is able to verbally request removal whenever s/he chooses to provide periodic relief. All individuals currently utilizing bed rails will have their medical orders, assessments, and support plans reviewed for compliance and any needed updates to be in place by 7/18/2025 |
07/18/2025
| Implemented |