| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.143(a) | Individual #1 refused a physical examination scheduled for 2/18/2025. The continued attempts to educate the individual #1 about the need for health care was not documented. | If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. | The House Coordinator will educate Individual #1 on the importance of the yearly physical examination. The education provided to Individual #1 about the importance and need for health care will be uploaded to the participant¿s file. |
07/01/2025
| Implemented |
| 6400.165(g) | Individual #1 is prescribed medication to treat symptoms of a psychiatric illness. A review by a licensed physician at least every three months that documents the reason for prescribing the medication, the need to continue the medication and the necessary dosage has not been completed. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | The House Coordinator scheduled Individual #1¿s initial Medication Monitoring appointment for July 1, 2025. On June 16, 2025, Community Care Connections implemented a new Medication Monitoring form to be completed at all medication monitoring appointments. The Medication Monitoring form requests documentation for: reasons for medications, dosages of medications, need to continue medications, and a list of current medications. The Medication Monitoring Form will be completed, reviewed by the House Coordinator, reviewed by the Program Specialist and saved into Individual #1¿s file. A medication monitoring will be scheduled every 90 days for Individual #1 as long as a they are being treated for a psychiatric illness. |
07/01/2025
| Implemented |
| 6400.166(a)(5) | Individual #1's May 2025 Medication Administration Record did not include the strength of the Ibuprofen. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication. | Individual #1¿s Medication Administration Record was updated by the Community Homes Liaison on May 29, 2025. For each medication, including PRN Medication, that a participant is prescribed, the script, medication packet, and the medication record will be checked for thoroughness that each part will completely match all 5 rights to include Individual, Medication, Dosage, Time and Route. |
07/01/2025
| Implemented |