| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.121(c)(1) | Previous medical history was not included on physical exam form completed 11/5/12. | The physical examination shall include: (1.) A review of previous medical history. | The medical history has been added to the Physical Examination. The Program Specialist added the information to the current physical examination form. The Associate Director also reviewed the accurate way to complete the physcial form with the Program Specialist. In the furutre, the Director and Assoicate Director will be reviewing program files and documentation on a set schedule to ensure all documentation is completed accurately. |
12/07/2012
| Implemented |
| 6500.138(a) | Documentation for training by a physican was not completed for current medications: Carbamazepine,Amlodipine Besylate, Alendronate,
Oyst-Cal with Vitamin D and Chewable Aspirin. | Family members who administer prescription medications or insulin injections to individuals shall receive training by the individual's source of health care about the administration, side effects and contraindications of the specific medication or insulin. | The Provider for Individual # 1 was trained by the physican on all current medication. The Associate Director reviewed with the Program Specialist the regulation related to having the person administering the medication trained by the physician in the administration, side effects and contraindicaiton of medications. This regulaiton will also be reviewed at Family Living program meetings. For future compliance, Director and Assoicate Director will be reviewing program files and documentation on a set schedule to ensure the health and safety of the individual. |
12/14/2012
| Implemented |
| 6500.151(e)(4) | The assessment did not include the current skill level for individual #1. | (e)The assessment must include the following information: (4)The individual's need for supervision. | The Program Specialist updated the Annual Assessment to include individual #1 current living condition along with the level of supervision needed to ensure health and safety. The individual did move during the year which caused the Assessment to be updated. For future compliance, the Director and Associate Director will be reviewing program files and documentation on a set schedule to ensure the level of care needed for the individual is correct and all their needs are being addressed. |
12/07/2012
| Implemented |
| 6500.156(c)(1) | Monthly documentation to determine if individual #1 made progress on an outcome to improve self care skills was not completed for 11/12. | (c) The ISP review must include the following: (1) A review of the monthly documentation of an individual's participation and progress during the prior 3 months toward ISP outcomes supported by services provided by the family living home licensed under this chapter. | The Program Specialist updated the Monthly Progress Note for November to include the progress on the outcome to improve self care skills. The Associate Director reviewed with Program Specialist the correct way to document the progress on an outcome. For future compliance, Associate Director will review documentation at Family Living Program Meetings to ensure the reason for the regulation and how it ensures the individuals outcomes are being addressed. Also the Director and Assoicate Director will be reviewing program files and documentation on a set schedule to ensure the outcomes are being worked on and documented correctly. |
01/24/2013
| Implemented |