| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | There was a lint found in the dryer at the time of inspection. | Clean and sanitary conditions shall be maintained in the home. | Lint trap was cleaned on 3.28.24 by the Site supervisor. All other homes verified traps were clean on 3.29.24 |
03/28/2024
| Implemented |
| 6400.67(b) | The linen closet located in the main bathroom upstairs had the shower panel box off. Upon further inspection, with that panel box not being secured, the floor has an accessible hole that the basement may be seen through. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Panel box was secured on 3.29.24 by maintenance - see attachment E. All other closets in homes were checked for similar issues, none found. |
03/29/2024
| Implemented |
| 6400.192 | Individual #1 has a doctor order dated 1/3/2023 which states, "Individual #1 is not to leave the house if the temperature goes below 32 degrees". This doctor order is due to Individual #1 having a history of hypothermia. The doctor's order restricts Individual #1's activity, however there is no restrictive procedure in place addressing the order on restriction of activity. | 6400.191- This violation is under chapter 6400.191.
6400.191 - A restrictive procedure is a practice that:
· Limits an individual's movement, activity, or function,
· Interferes with an individual's ability to acquire positive reinforcement,
· Results in the loss of objects or activities that an individual values; or
· Requires an individual to engage in a behavior that the individual would not engage in given freedom of choice. | Medical Compliance Specialist obtained a clarified order from the doctor on 3.28.24 specifying the types of clothing recommended if individual's choses to go out when weather is below 32 degrees. Staff were given this order and reviewed it that same date. Nurses checked all other orders by 4.1.24 to ensure no other restrictive language was in use. Attachment A is the updated order. |
04/01/2024
| Implemented |