Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.22(d)(2) | Individual #1 had a $25 gift card that was not recorded on the cash ledger. | (2) Disbursements made to or for the individual.
| All staff were retrained on ensuring that gift cards are immediately placed on a ledger and properly stored in the individuals money bags for their small account. These will be monitored weekly by the supervisor during weekly audits. |
09/30/2016
| Implemented |
6400.67(a) | The sink in the half bathroom did not drain. | Floors, walls, ceilings and other surfaces shall be in good repair. | The sink was fixed to drain properly. This will be monitored monthly by the structural survey completed by the Supervisor. A second check will be placed by the program specialist monthly to ensure all structures, windows, etc. are in good repair and/ being fixed or repaired in a timely manner. |
10/04/2016
| Implemented |
6400.72(b) | The back screen door had four holes approximately one inch in diameter. | Screens, windows and doors shall be in good repair. | The screen door had it's screen replaced. This will be monitored monthly by the structural survey completed by the Supervisor. A second check will be placed by the program specialist monthly to ensure all structures, windows, etc. are in good repair and/ being fixed or repaired in a timely manner. |
10/04/2016
| Implemented |
6400.164(a) | The 04/29/16 and 05/15/16 medication administration record did not include the time of administration for Ammonium Lactate cream. | 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. | At the time of this documentation error it, should be noted that individual was the one responsible for administering the medications. The nurse saw it was not documented and placed her initials because she knew it was competed. All nurses were retrained that if an individual is self medicating that they are not to initial the individuals medication logs, that it is the individuals responsibly. A current MAR is included on the POC. |
09/30/2016
| Implemented |
6400.167(b) | Individual #1 was prescribed Sertraline 10 mg to be administered once daily. The medication was not administered on 05/26/16. | Prescription medications and injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant. | The individual was taken by the family to the appointment and the family did not give the prescription to fill and administer. The Nurses at the program were retrained on agency policy on filling a medication and ensuring if the family takes an individual on a appointment that all scripts and documentation are completed accurately. |
09/30/2016
| Implemented |
6400.181(e)(4) | Individual #1's 04/22/16 assessment did not include unsupervised time in the community. | The assessment must include the following information: The individual's need for supervision.
| The assessment summary was updated to reflect the amount of time the individual is able to beat the home and in the community independently. |
10/01/2016
| Implemented |
6400.181(e)(5) | Individual #1's 04/22/16 assessment indicated he/she was self medicating with staff assistance. | The assessment must include the following information: The individual's ability to self-administer medications. | The individuals assessment was updated to reflect that individual is self-medicating. the outcome that this was met and discontinued is also included in the POC. |
08/24/2016
| Implemented |
6400.183(4) | Individual #1's Individual Support Plan (ISP) did not include unsupervised time in the community or in the home. | The ISP, including annual updates and revisions under § 6400.186 (relating to ISP review and revision), must include the following: A protocol and schedule outlining specified periods of time for the individual to be without direct supervision, if the individual's current assessment states the individual may be without direct supervision and if the individual's ISP includes an expected outcome which requires the achievement of a higher level of independence. The protocol must include the current level of independence and the method of evaluation used to determine progress toward the expected outcome to achieve the higher level of independence. | A updated outcome is in place for individual to be in the community and a specific amount of time independently. This is also included in the assessment summary. |
10/01/2016
| Implemented |
6400.186(a) | The program specialist did not complete the Individual Support Plan reviews. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. | A quarterly review was completed by program specialist for the individual . All program specialists were retrained that they will be the ones competing and signing all quarterly reviews. Any quarterly review that is prepared after October 1, 2016 will be completed per the regulation. |
10/01/2016
| Implemented |
6400.186(e) | The option to decline the Individual Support Plan review documentation was not provided to Individual #1's father. | The program specialist shall notify the plan team members of the option to decline the ISP review documentation. | A letter was completed by the individual that they do want their father to be included in team meetings. All Program Specialists were retrained to ensure all team members are invited to meetings. If they decline proper documentation will be provided as such. |
10/03/2016
| Implemented |
6400.213(11) | Individual #1's 03/20/16 physical exam indicated seasonal allergies and Eurythromyacin. The April 2016 medication administration log indicated no known allergies. | Each individual's record must include the following information: Content discrepancy in the ISP, The annual update or revision under § 6400.186. | The physical exam, MAR and ISP were updated to reflect proper allergy diagnosis. All nurses that would be updating this information were retrained to complete and ensure consistant documentation. The Supervisor will also second check this monthly on the monthly appointment tracking sheet. This will then be rechecked by the RN/program specialist. |
10/03/2016
| Implemented |