| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.32(r)(1) | An individual has the right to lock the individual's bedroom door. Individual #2 did not have a lock on her bedroom door. Individual #2's Individual Support Plan (ISP) did not document that they did not want to have a lock. | An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | Numeric keypad lock installed on bedroom door. Individual and Lifesharer trained on how lock functions. ISP language will be updated to clearly reflect individuals¿ choice. |
08/12/2024
| Implemented |
| 6500.48(b)(6) | There was no record or documentation that Staff #1 received annual training on the implementation of the individual plan (ISP). | The annual training hours specified in subsection (a) must encompass the following areas: Implementation of the individual plan. | Lifesharer will complete annual Individual Support Plan training and submit proof of training documentation to the Lifesharing Coordinator. Verification of training will be included in the Lifesharer training record. |
09/30/2024
| Implemented |
| 6500.135(c) | Individual #1 is prescribed Tri-Sprintec (birth control), take 1 tablet by mouth daily. Individual #1 starts the medication packs on Wednesdays- Tuesdays. At the time of the inspection 8/9/24 (Friday), Individual #1 was on pack 2 of 3, row three of the pack, and their medication/pill for Friday administration remained in the pack. Individual #1 stated that they had already taken their medication for the day (Friday). Due to the specific days being labeled on the medication package it appears as though the medication was not administered as prescribed. | A prescription medication shall be administered as prescribed. | Lifesharer will assist the individual with completion of a MAR for one month. The team will meet to reassess self-medication skills. If there is a change in self-medication skills it will be communicated to the Supports Coordinator for any required ISP updates. |
09/30/2024
| Implemented |