| 6400.141(c)(10) | Individual 1's Annual physicals dated 12/02/2024 and 11/13/2023 indicate that they are not free of communicable disease but do not list precautions needed to prevent the spread of disease to others. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | DSP staff supporting Individual #1 receive training in her specific care needs at the time of hire and on an ongoing basis. Additionally all PATH staff receive annual training in Infection Control Practices and the use of Universal Precautions to prevent the possible spread of communicable disease. PATH's Nursing Team provided site staff with a refresher training including information about how to prevent spread of communicable disease including the use of universal precautions. (see pg 2 of Attachment) |
11/18/2025
| Implemented |
| 6400.166(a)(11) | For individual 1, the diagnosis or purpose of medications were not listed on the MAR or medication label(s). | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | Language about the corresponding diagnosis was added to individual entries for each medication on the daily Medication Record. |
11/18/2025
| Implemented |