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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(b) | There was no first aid kit in the home. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Harcourt has a first aid kit as of May 10, 2016. On May 10th the residential program had several moves between houses in addition to the opening of Harcourt. The plan to have the first aid kit from our Unity Respite site to Harcourt as part of the moves was executed as planned on this date. (Move instructions that include this sent 5/13)
All homes were inspected between May 4-5, 2016 by Barb Kowalsky and Ed Kuznik. All sites have the required first aid kits.
In the future, when opening a new site, a new First Aid kit will be furnished upon the site being added to the license. |
05/13/2016
| Implemented |
| 6400.81(i) | The window facing the street in the bedroom in the front of the home did not have drapes, curtains, shades, blinds or shutters. | Bedroom windows shall have drapes, curtains, shades, blinds or shutters. | The bedroom window now has the appropriate drapes. They had been hung and then taken down for painting and wall finishing. (Picture sent 5/13)
All homes were inspected between May 4-5, 2016 by Barb Kowalsky and Ed Kuznik. All other bedrooms had appropriate coverings for the windows.
CLC¿s process for ensuring ongoing compliance with the 6400 regulations 61A-86 pertaining to the physical site has been revised to prevent this issue in the future. Our process was daily and required a daily check by the supervisors ¿ a single check mark indicating that all items were compliant. The physical site checks are now weekly and each inspection item has been written out on the form with the expectation of checking for compliance and marking compliance for each item each week. Inspections are to be completed by the Residential Program Supervisor and submitted each week to the Program Specialists along with any corresponding corrections or work orders. (Checklist will be sent)
Residential Program Supervisors received training on May 12, 2016 for implementation of this process, which is being implemented starting May 15, 2016. Supervisors absent from the meeting and the remaining residential staff will receive training between May 13th and May 23rd. (Training verification will be sent to licensing by June 1, 2016) |
05/13/2016
| Implemented |
| 6400.111(c) | The fire extinguishers in the kitchen and basement of the home did not have a 2A-10BC rating. | A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). | A fire extinguisher with the appropriate 2A rating was purchased and is at Harcourt. (Purchase receipts sent 5/13)
All homes were inspected between May 4-5, 2016 by Barb Kowalsky and Ed Kuznik. Fire extinguishers by both rating and locations were found to be compliant.
To avoid this from happening in the future, retraining on this requirement will be provided to the personnel responsible for our fire systems as well as program specialist responsible for self-inspections for opening new homes. (Verification of training will be sent by June 1, 2016). Future homes being opened will include an inspection by the personnel responsible for the fire systems and maintenance department PRIOR to the purchase / lease agreement. |
05/13/2016
| Implemented |
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