Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00057559 Renewal 12/05/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(15)The physical for Individual #1 did not include diet instructions. Individual #1 receives jevity three times daily through a G-tube.(15) Special instructions for the individual's diet. Physician has provided script that shows that individual #1 can have comfort foods - 1/2 cup - attached to e-mail dated 1/28/2014. ADEQUATE PROGRESS Provider added diet to physical, initialed, and dated. AH 01/10/2014 Implemented
6400.186(a)The ISP reviews for Individual #1 did not review any community activities or Individual #1's dental hygiene plan. (a) The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. ADEQUATE PROGRESS Program Specialist has adapted Quarterly Report to include details regarding community activities and dental hygiene plan -Attached to e-mail dated 1/28/2014. an updated ISP review with the above information was sent as part of the validation material for this citation. AH. 01/10/2014 Implemented
SIN-00041417 Initial review 01/09/2013 Compliant - Finalized