Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.73 | On 2/21/2025 at 10:41AM, there was no railing on the five exterior concrete steps leading from the porch in the front of the home. On 2/21/2025 at 10:50 AM, there was no railing on the interior stairway leading to the basement of the home. | An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail. | All life sharing coordinators and providers were retrained on 2/28/2025 regarding need for handrails. Railing was installed on exterior and interior steps. |
02/28/2025
| Implemented |
6500.151(e)(10) | Individual #1's assessment, completed on 7/15/2024, did not include a lifetime medical history. | The assessment must include the following information: A lifetime medical history. | Coordinators retrained on 6500.151(e)(10) on 2/27/2025.
Assessment updated to include lifetime medical history on 3/5/2025. Updated annual assessment was sent to team on 3/5/2025.
Annual assessment letters were updated on 3/5/2025 to include lifetime medical history in the contents. |
03/05/2025
| Implemented |
6500.151(e)(11) | Individual #1's assessment, completed on 7/15/2024, did not include a psychological examination. | The assessment must include the following information: Psychological evaluations, if applicable. | Psychological exam was collected on 2/24/2025. Psychological section was added to participant book on 2/24/2025. Annual assessment letter was updated on 3/5/2025 to include psychological exam and sent to team on 3/5/2025. |
03/05/2025
| Implemented |