| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | At 10:49AM on 2/28/2023, the bathtub, in the bathroom along the hallway, contained what appeared to be feces on the bathmat. | Clean and sanitary conditions shall be maintained in the home. | Staff were instructed to immediately clean the bathtub using sanitary practices and infection control procedures- gloves, handwashing, proper disposal of feces into toilet. The staff cleaned and sanitized the bath tub and mat (Attachment #13). On 3/8/2023, Program Specialist had a staff meeting and provided training on CDC infection and control procedures, the importance of cleaning and appropriate housekeeping procedures as well as maintaining sanitary conditions in the home at all times. (Attachment #14). On 3/8/2023, Program Specialist, conducted a site check and confirmed that the home was clean and sanitary. (Attachment #15). |
03/08/2023
| Implemented |
| 6400.65 | The mechanical ventilation fan in the hallway bathroom was inoperable. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| A repair order was placed with maintenance. On 3/5/2023, Touch-Stone Solutions hired an electrician to repair the issue (Attachment #16). On 3/8/2023 Program Specialist conducted a site inspection and verified that the vent fan was working and operational (Attachment #15). |
03/08/2023
| Implemented |
| 6400.72(a) | There is not a screen in Individual #1's bedroom window. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Replacement screens were ordered on 3/7/2023 from Byler's Superior Windows. (Attachment #4). The new screen will not be available for pickup until Monday, March 13, 2023. Once picked up, Touch-Stone maintenance will install the new screen. Program Specialist, conducted a site checklist on 3/8/2023 (Attachment #15) and verified that all screens with holes were repaired and that screens missing were ordered. |
03/08/2023
| Implemented |
| 6400.72(b) | There is a four inch tear on the right side of the screen in the window of the staff office. There is a two inch hole in the middle of the screen in the window of the staff office. | Screens, windows and doors shall be in good repair. | Replacement screens were ordered on 3/7/2023 from Byler's Superior Windows. (Attachment #4). The new screens will not be available for pickup until Monday, March 13, 2023. Once picked up, Touch-Stone maintenance will install the new screen. Touch-Stone Solutions maintenance used screen repair tape to cover holes on 3/7/2023 as an immediate fix until new screens arrive. (Attachment 7). Program Specialist, conducted a site checklist on 3/8/2023 (Attachment #15) and verified that all screens with holes were repaired and that screens missing were ordered. |
03/08/2023
| Implemented |
| 6400.101 | There is a hook and eye lock on the screen door at the back exit of the home posing an obstructed egress. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Touch-Stone maintenance removed the hook and eye latch from the door on 3/3/2023 (Attachment #18). The hole was filled in with caulk. Program Specialist, conducted a site inspection on 3/8/2023 (Attachment 15) and noted no compliance issues related to 6400.101. |
03/08/2023
| Implemented |
| 6400.214(b) | Individual #1's most recent dental examination was not present at the home. | The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home.
| Program Specialist, immediately corrected this on 3/3/2023. The most recent ISP and dental examination were added to the client book that is kept at the home in the staff office. On 3/8/2023, Program Specialist conducted an on-site inspection on 3/8/2023. She verified that the documentation was present in the home (Attachment #5). |
03/08/2023
| Implemented |