| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.24(e)(1) | Individual #1's assessment completed 7/17/2025 states the individual is unable to make change from a $1, $5, $10, or $20 bill. On 10/16/2025 the agency did not have a separate record of financial resources including the dates and amounts of deposits and withdrawals for Individual #1's spending money. | If the agency or family assumes the responsibility for an individual's financial resources, the following shall be maintained: a separate record of financial resources including the dates and amounts of deposits and withdrawals. | The Lifesharing Program Specialist will have the Core Member complete with them an Assessment of Financial Management Abilities. The answers will then be corrected in the Functional Assessment to better represent the Core Member's understanding of money. |
12/01/2025
| Implemented |
| 6500.24(e)(3) | Individual #1's assessment completed 7/17/2025 states the individual is unable to make change from a $1, $5, $10, or $20 bill. On 10/16/2025 the agency did not have documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual. | If the agency or family assumes the responsibility for an individual's financial resources, the following shall be maintained: documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by family members or agency staff. | A Functional Assessment will be reviewed yearly with the Core Member for any changes in abilities. |
12/01/2025
| Implemented |
| 6500.151(e)(6) | Individual #1's assessment completed 7/17/2025 states the individual needs assistant's intervention with poisonous materials and the individual can't read labels. On 10/15/2025 Life Sharing Specialist #1 stated the individual is independent with poisonous materials. | The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. | The Lifesharing Program Specialist will review and complete a Functional Assessment with the Core Member to better represent the skill and understanding that the Core Member has concerning poisonous materials. |
12/01/2025
| Implemented |
| 6500.151(e)(13)(vii) | Individual #1's assessment completed 7/17/2025 states the individual is unable to make change from a $1, $5, $10, and $20 bill. Individual #1's individual support plan, last updated 7/30/2025, states the individual is able to identify coins, count money combinations, and handles everyday financial transactions independently. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. | The Lifesharing Program Specialist will have the Core Member complete with them an Assessment of Financial Management Abilities. The answers will then be corrected in the Functional Assessment to better represent the Core Member's understanding of money. |
12/01/2025
| Implemented |
| 6500.183 | On 10/16/2025 copies of Individual #1's personal information, incident reports related to the individual, current physical examination, current dental examination, current assessment, individual plan documents required by this chapter, psychological evaluations were not kept in the family living home. | Copies of the most current record information required in § 6500.182(c)(1)-(14) (relating to individual records) shall be kept in the family living home. | The Lifesharing Program Specialist will complete a Home Book for the location, which will include the most current identification sheet, current physical, current dental, current assessment, current ISP, current psychological evaluations, and any incident reports. |
12/01/2025
| Implemented |
| 6500.34(a) | Individual #1 was informed of individual rights 7/24/2025 and the following rights were not included: 6500.32(a) An individual may not be discriminated against because of race, color, creed, religious affiliation, ancestry, gender, gender identity, sexual orientation, national origin or age., 6500.32(b) An individual has the right to speak freely, 6500.32(c) An individual may not be exploited, abandoned, 6500.32(d) An individual shall be treated with dignity and respect, 6500.32(e) An individual has the right to make choices and accept risks, 6500.32(f) An individual has the right to refuse to participate in activities and services, 6500.32(g) An individual has the right to control the individual's own schedule and activities, 6500.32(h) An individual has the right to privacy of person and possessions, 6500.32(j) An individual has the right to voice concerns about the services the individual receives, 6500.32(p) An individual has the right to choose persons with whom to share a bedroom, 6500.32(q) An individual has the right to furnish and decorate the individual's bedroom in accordance with § 6500.33 (relating to negotiation of choices), 6500.32(r) An individual has the right to lock the individual's bedroom door, 6500.32 (r)(1) Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door, 6500.32(r)(2) Access to an individual's bedroom shall be provided only in a life-safety emergency or with the express permission of the individual for each incidence of access, 6500.32(r)(3) Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance, 6500.32(r)(4) The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency, 6500.32(r)(5) The primary caregiver shall have the key or entry device to lock and unlock the door, 6500.32(s) An individual has the right to have a key, access card, keypad code or other entry mechanism to lock and unlock an entrance door of the home 6500.32(t) An individual has the right to access food at any time, 6500.32(u) An individual has the right to make health care decisions, and 6500.32(v) An individual's rights may only be modified in accordance with §6500.155 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others. | Individual rights and the process to report a rights violation shall be explained to the individual, and persons designated by the individual prior to moving into the home and annually thereafter. | A Corrected Individual Rights was reviewed the Lifesharing Program Specialist and signed by the Core Member. |
11/03/2025
| Implemented |
| 6500.152(c) | Individual #1's individual support plan, last updated 7/30/2025, does not document the individual's ability with poisonous materials and individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources. Individual #1's individual support plan, last updated 7/30/2025, states the individual is prescribed a daily vitamin medication. On 10/15/2025 Life Sharing Specialist #1 stated the individual is not prescribed any medications. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | The Lifesharing Program Specialist will review and complete a Functional Assessment with the Core Member to better represent the skill and understanding that the Core Member has concerning poisonous materials and heat sources.
A request will be sent to the Supports Coordinator to ask that the medication be updated and removed from the ISP. |
12/01/2025
| Implemented |
| 6500.156 | Individual #1's individual support plan, last updated 7/30/2025, states the individual can be unsupervised for an extended period of time. Individual #1's assessment completed 7/17/2025 states the individual can be left home alone for up to 5 hours. | The home and the agency shall implement the individual plan, including revisions. | A request will be sent to the Supports Coordinator to ask that the unsupervised period of time represent Functional Assessment. |
11/20/2025
| Implemented |