| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | There were unlocked chemicals found in the laundry room such as bleach and laundry detergent.
Kitchen cleaner named "Fantastik" was found under the kitchen sink, unlocked and atop the toilet bowl, unlocked. | Poisonous materials shall be kept locked or made inaccessible to individuals. | CADES failed to ensure the health and safety of the individuals by failing to lock cleaning products that are considered poisonous. It is essential that all poison materials and cleaning products be kept locked as indicated in the ISP. These items were removed and locked to ensure the health and safety of the residents at the home on 10/11/24. |
10/11/2024
| Implemented |
| 6400.64(b) | Soiled bug traps with dead bugs were found in the basement. | There may not be evidence of infestation of insects or rodents in the home. | CADES failed to ensure hygienic and sanitary conditions free and safe from insects or rodents by having soiled traps with insects, in the basement of the home. Traps should be disposed of and replaced timely and checked regularly to maintain sanitary conditions in the home. Traps were removed and replaced on 10/11/24. |
10/11/2024
| Implemented |
| 6400.81(k)(6) | There was no mirror found in individual #1's bedroom. | In bedrooms, each individual shall have the following: A mirror. | All individuals served at CADES have the right and there is the expectation that they have a personalized bedroom with furniture in good condition, sanitary and tidy conditions, an area to store clothes, dresser, bed, and a mirror. CADES failed to meet this when individual 1's mirror was not available to her, and so a work order was placed to hang her mirror, and the mirror was rehung (Attachment #2). |
10/15/2024
| Implemented |
| 6400.141(c)(10) | Individual #1's Annual physical isn't indicating free from communicable diseases or not and presents as a medical history summary, signed 5/23/2024. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | It is essential that the physical form be completed in entirety so that the full picture of the individuals health needs is captured and evaluated.
The physician was contacted to correct the missed wording on the annual physical. The PCP revised the physical to indicate Individual #1 is free from communicable disease on 11/19/2024 (Attachment #3). |
11/19/2024
| Not Implemented |
| 6400.171 | Contaminated food was found in the home. Specifically, there was an item found with the consistency of peanut butter in the home with a growth. There were foods with the consistency of liquid found unlabeled and unrefrigerated that could seemingly be contaminated as well in unlocked cabinets. | Food shall be protected from contamination while being stored, prepared, transported and served.
| Food that is not safely stored is subject to contamination and puts the individual's health at risk in the event of ingestion. CADES will ensure all food items in the home that are perishable are in the refrigerator or freezer and that all food is labeled appropriately and any expiration dates are followed with the food being thrown out.
All expired or incorrectly stored products in the refrigerator and pantry were disposed of on 10/11/24 (Attachment #4). |
10/11/2024
| Implemented |