Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.111(c)(3) | Individual #1's record did not contain a Tetanus immunization. Tetanus booster shots are recommended by the Unites States Public Health Service, Center for Disease Control every 10 years. | The physical examination shall include: Immunizations as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | Individual #1 will have a new physical and tetanus immunization completed prior to returning to the 2380 licensed facility and will be compliant with 2380.111(c) (3). Requiring a tetanus immunization every 10years. [Individual #1 Tetanus immunization verified on 7/15/21. DPOC by HDKP, HSLS, on 7/16/21]. |
05/27/2021
| Implemented |
2380.111(c)(5) | Individual #1 had a Tuberculin skin test by Mantoux method on 12/14/17 and then again on 03/12/20.
Individual #2 had a Tuberculin skin test by Mantoux method on 02/16/18 and then again on 03/05/20. | The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positvie, an initial chest X-ray with results noted. | Individual #1 will have a new annual physical and Tuberculin Skin Test this year prior to resuming service in the 2380 Facility. this will bring him compliant with 2380. 111 (c) (5).
Individual #2 will have a tuberculin skin test completed prior to the annual physical and read during the annual physical keeping both on the same date and compliant with 2380. 111 (c) (5) [Individual #1 and Individual #2 tuberculin evaluations verified 7/15/21. DPOC by HDKP, HSLS, on 7/16/21]. |
05/27/2021
| Implemented |
2380.111(c)(7) | Individual #1's physical examination, dated 01/14/20, did not include an assessment of the individual's health maintenance needs and the need for blood work at recommended intervals. This section of the physical examination was left blank. Individual #1's physical examination, dated 01/14/21, did not include an assessment of the individual's medication regimen. This section of the physical examination states "see attached;" however, no medication list was attached to the examination form. | 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. | Individual #1 will have a new physical this year prior to services resuming in the 2380 facility. This physical will be completed and compliant to 2380. 111 (c) (7) showing an assessment of the individual's health maintenance needs along with needed blood work times. A life time medical history showing will be attached to the physical form prior to the physical and returned to the program specialist. [Individual #1's health maintenance needs and needed bloodwork at recommended intervals verified 7/15/21. DPOC by HDKP, HSLS, on 7/16/21]. |
05/27/2021
| Implemented |
2380.111(c)(8) | Individual #1's physical examination, dated 01/14/20, did not include physical limitations. This section of the physical was left blank. | The physical examination shall include: Physical limitations of the individual. | Individual #1 will have a new physical completed prior to resuming services this year. All areas will be completed by the medical professional including physical limitations. [Individual #1's physical limitation were verified on 7/15/21. DPOC by HSKP, HSLS, on 7/16/21]. |
05/27/2021
| Implemented |
2380.111(c)(10) | Individual #1's physical examination, dated 01/14/20, did not include medical information pertinent to diagnosis and treatment in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Individual #1 will have a new physical completed prior to resuming services this year. All areas will be completed by the medical professional including all medical information related to diagnosis and treatment in case of an emergency situation. [Individual #1's physical verified on 7/15/21. All required information was obtained. DPOC by HDKP, HSLS, on 7/16/21]. |
05/27/2021
| Implemented |