| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.106 | This home's furnace was cleaned and inspected on 1/9/23, and then again on 1/29/24. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| The furnace inspection was completed on 1/29/24 and will be completed next year prior to 1/29/25. A ticket will be put in the maintenance system by the administrative assistant at least 45 prior to 1/29/25 to ensure that it is completed on time. |
05/15/2024
| Implemented |
| 6400.182(c) | Individual #1's most current individual plan from 3/19/24, explained the following regarding supervision: They reside in a semi-independent apartment with 24-hour staffing that is not with Individual #1 at all times. Individual#1's current individual plan also indicated that they receive eight hours of supervision at home to provide them assistance and support with medication administration, money management, and in recognizing poisonous substances if noticed, as Individual #1 is "not the most observant person and could easily make a mistake." However, Individual #1's most recent assessment completed on 2/10/24, provided the following: Individual #1 will self-medicate and sign the Medication administration Record afterwards; they manage their finances with full independence; and they know not to ingest non-food or otherwise harmful substances. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Individual # 1¿s assessment was updated on 4-9-24 to address recommendations for specific areas of training, programming and services. The updated assessment was sent to team members on 4-10-24 and an email was sent to the Supports Coordinator on 4-10-24 to request that the ISP be updated with the information added to the assessment. |
05/15/2024
| Implemented |
| 6400.186 | Individual #1's most current Individual Plan from 3/19/24, informed the following regarding their staffing needs: Staff will ensure Individual #1 has taken their medication due to concerns of them not taking it as prescribed; Individual #1 requires some support to prevent emotional outbursts, assaults on others, stealing, impulsive online spending; improper social media and online usage, phoning a sex line, and wrecking vehicles. However, on 3/21/24, the agency explained that Individual #1's staff is not with them at all times and that after ten hours of unsupervised time, Individual #1 is instructed to check in with staff during awake hours. | The home shall implement the individual plan, including revisions. | Individual # 1¿s assessment was updated on 4-16-24 to address recommendations for medication and supervision The updated assessment was sent to team members on 4-16-24 and an email was sent to the Supports Coordinator on 4-16-24 to request that the ISP be updated with the information added to the assessment. Individual¿s ISP meeting was held on 4-16-23. |
05/15/2024
| Implemented |