| 6400.71 | Telephone numbers were not on or by the telephone in the living room area. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| Emergency numbers were located in the home on the staff bulletin Board, but were not posted by the fixed telephone in the living room. The posting was placed by house phone located in the living room by the Program Specialist on 01/25/2019. A new posting was created with more visual effect on 03/11/2019 and replaced the original posting in all locations.
The CLA Site Supervisor will monitor to ensure that postings of emergency numbers are at each fixed telephone and document on the weekly CLA House Inspection checklist, which will be submitted to the Program Specialist. If the emergency number posting is missing it will be replaced immediately. The documentation is preserved in the Program Specialist office in the Residential Site Weekly Checklist Binder.
All current staff have been retrained on ( 6400.71) the regulation that emergency numbers must be in place by the fixed house telephone. If the number list is missing it must reported to their supervisor immediately up discovery so it can be replaced.
All incoming staff will be trained on the location of the emergency numbers as part of their initial CLA orientation. All current staff have been retrained on the location of the telephone numbers. |
01/25/2019
| Implemented |
| 6400.164(a) | Individual #2 medication (PROPRANOLOL 10mg TAB) was administered, however not logged by the person administering the medication.
Individual #2 medication (LORATADINE 10mg TAB) was administered, however not logged by the person administering the medication.
Individual #3 medication (RISPERIDONE 0.5 mg TAB) was administered, however not logged by the person administering the medication. | A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication. | Staff failed to document the administration of two medications for individual #2. Staff failed to document the administration of one medication of individual #3.
Medication error training was held during an all staff meeting on 02/28/2019 by medication certified trainer Cheryl Boyton to re-train medication certified staff on proper administration and documentation. See Exhibit 15
The medication error training covered proper documentation.
The provider has hired a new residential Program Specialist and Residential (CLA) Site Supervisor. Both have undergone medication certification training and were certified as of 03/12/2019. The COO will undergo DHS Medication Administration Trainer Certification by the end of May 2019. In doing so, the workload is minimized so that the Program Specialist and CLA Site Supervisor can spend more time reviewing paperwork with more accuracy and detail.
It is the responsibility of all medication certified staff to ensure and verify through reviewing the MAR that all medications are signed for immediately following administration. The CLA Site Supervisor and Program Specialist will be responsible for ensuring that medications are logged immediately following their administration through weekly MAR reviews and on-site observations of the medication administration process. Those staff who fail to follow the guidelines for the administration of medications will receive disciplinary action including retraining and corrective action. |
02/28/2019
| Implemented |