| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.46(e) | Staff person #1 training record did not include Training for ID, program planning, implementation and rights. | Program specialists and direct service workers shall have training in the areas of intellectual disability, the principles of normalization, rights and program planning and implementation, within 30 calendar days after the day of initial employment or within 12 months prior to initial employment. | This area of non-compliance was corrected on 6/19/19 by the Training Coordinator reviewing DSP, staff person #1 training record via MITC to retrieve staff person #1, ODP training date. See attachment #8e
To assure future compliance with this regulation, the Training Coordinator will ensure that all staff persons who was employed for more than 40 hours per month have at least 24 hours of training relevant to human services training within the previous annual training year. In addition, the training tracking data sheet will be utilized to make sure that all staff persons¿ trainings are in regulatory compliance. |
06/19/2019
| Implemented |
| 6400.64(a) | The hood above the stove has grease build up. | Clean and sanitary conditions shall be maintained in the home. | This area of non-compliance was corrected on May 1, 2019 by KenCCID Maintenance and staff cleaning the identified area and ensuring above the stove was free of grease buildup. See attachment #8d
To assure future compliance with this regulation, all cleaning of the homes will be assigned to direct care staff per a daily cleaning chart KenCCID revised the CHM Weekly House Inspection Checklist to include #20; Is the stove top and hood free from grease and clean? See attachment #8d |
05/01/2019
| Implemented |
| 6400.71 | Emergency numbers were not on or near the telephone. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| This area of non-compliance was corrected on 4/19/19 by the Community House Manager. The CHM posted an emergency telephone number list by the phone in the house. See attachments #8c
To assure future compliance with this regulation, the Community House Manager will inspect, document and assure compliance with all emergency, health & safety precautions throughout the home on a weekly basis. Information will be captured on the CHM Weekly House Inspection Checklist, question #38. See attachment #8c |
04/19/2019
| Implemented |
| 6400.77(b) | The First-aid kit did not contain a thermometer. | 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. | This area of non-compliance was corrected on 3/21/19 by Community House Manager purchasing digital thermometers and placing them in the first aid kit. See attachment #8b
To assure future compliance with this regulation, the CHM will conduct a weekly site inspection to ensure the home is in compliance according to the 6400 regulations. KenCCID revised the current CHM weekly house inspection checklist to include a more detailed list of what items the First Aid Kit contains, question #40. See attachment #7e |
03/21/2019
| Implemented |
| 6400.151(c)(3) | Staff person #1's physical exam dated 6/11/18 did not have a Signed statement that staff member is free from communicable diseases. | The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | This area of non-compliance was corrected on 5/3/19 by DSP, staff person #1. Staff person #1 went back to Concentra and had the original physician re-evaluate her to ensure she was free from communicable disease and complete the physical examination form in its entirety. See attachment #8
To assure future compliance with this regulation, KenCCID has assigned a designated Human Resources team member who will review all physical exams for accuracy according to regulations, prior to employees New Hire Orientation. Additionally, Human Resources will review and track current employee¿s physical examinations in accordance to regulatory compliance for accuracy. See attachment #8a |
05/03/2019
| Implemented |