| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.151(e)(1) | The annual assessment completed on 11/04/2025 for Individual #1 does not document the individual's functional strengths, needs or preferences. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | The assessment was corrected and re-submitted to the SC. |
12/09/2025
| Implemented |
| 6500.151(e)(2) | The annual assessment completed on 11/04/2025 for Individual #1 does not document the individual's dislikes. The area on the assessment for this information was blank. | The assessment must include the following information: The likes, dislikes and interest of the individual. | The assessment was corrected by the LS coordinator and updated and submitted to the SC |
12/09/2025
| Implemented |
| 6500.151(e)(6) | The annual assessment completed on 11/04/2025 for Individual #1 does not document the individual's ability to safely use or avoid poisons. The area on the assessment for this information states "this is not noted on the ISP." Providers must ensure that assessments are meaningful, accurate and useful, as the assessment informs the development and revision of the Individual Plan, and provides its foundation. | The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. | LS Coordinator corrected the assessment and submitted to the SC. |
12/09/2025
| Implemented |
| 6500.135(g) | The psychiatric medication review that occurred on 8/28/2025 did not include documentation of the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review by a licensed physician at least every 3 months to document the r reason for prescribing the medication, the need to continue the medication and the necessary dosage. | LS Coordinator obtained the Visit summary that identified the reason for the medication. |
12/02/2025
| Implemented |