| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.112(d) | The fire drill conducted on 4/26/2020 evacuation time was 5 mm and 38 sec which exceeds the required 2.5 minutes evacuation time for fire drills. | Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. | Program Specialist will ensure that fire drills are completed within 2 ½ minutes, using a checklist to assure compliance.
See attached checklist. |
06/15/2021
| Implemented |
| 6400.52(c)(1) | Staff #2 did not receive annual training in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | Staff #2 will receive the recommended training by 5/14/2021.
See attached training documentation. |
06/15/2021
| Implemented |
| 6400.52(c)(5) | Staff #2 did not receive annual training on the safe and appropriate use of behavior supports. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The safe and appropriate use of behavior supports if the person works directly with an individual. | Staff #1 will receive the recommended trainings by 5/14/2021. |
06/15/2021
| Implemented |