| 6400.22(c) | Individual #1's financial records state that Individual #1 spent $11.65 on "Dove" deodorant at CVS on 11/08/25; this is an item covered by Individual #1 Room and Board payment. | Individual funds and property shall be used for the individual's benefit. | This regulation is important because it ensures that individuals benefit from their money and property in a manner of their choosing while preventing situations that could lead to exploitation.
During the inspection, it was found that Individual #1's financial records stated that they purchased Dove Deodorant for $11.65 at CVS which is an item covered by the Room and Board payment.
A request was sent to the finance department by the Program Manager on 1/27/2026 for Individual #1 to be reimbursed. Attachment #5.
Program Managers complete a monthly financial review for each person supported, and in that review the Program Manager is to determine if a person supported needs reimbursed for any item covered by the person's Room and Board payment. During the monthly review for November, the Program Manager did not request for Individual #1 to be reimbursed for the purchase of the Dove deodorant purchased on 11/5/2025.
The Program Managers will be completing an audit on 2/9/2026 to review each person's finances to check for any items the person may have purchased that should have been covered by the Room and Board payment. An audit was completed in July 2025 for hygiene items, so the audit will cover August 2025 to December 2025.
During the audit on 2/9/2026, Program Managers will be retrained by the Residential Administrator on the financial process regarding items covered by the Room and Board payment, including hygiene items. See attachment #6 for proof of training and reference guide. |
02/09/2026
| Implemented |
| 6400.63(a) | At the time of the 01/22/26 inspection, the hot water temperature at the sink in the largest bathroom was 125.0 degrees Fahrenheit. | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | This regulation is important because it protects individuals from accidental scalding, which could result in serious injury or death.
During the inspection, the water temperature was 125 degrees Fahrenheit in the sink in the largest bathroom.
After the inspection, it was noted by the Residential Program Manager that during monthly monitorings of the water temperatures, the Residential Supervisor would turn on all water sources to hot to prepare to take the temperature. This method then had all water temperatures below 120 degrees. The Residential Supervisor was unaware that only one water source should be turned on at a time to get an accurate water temperature.
On 1/22/2026, a maintenance request was submitted to the Maintenance Department for the water temperature to be lowered on the water heater. See Attachment #3.
An audit was completed of all residential homes to ensure the water temperatures were below 120 degrees. The temperatures ranged from 89.2 to 119.7. The audit was completed by 2/4/2026. See attachment # 2. |
02/09/2026
| Implemented |