| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Poisons should be locked or made inaccessible. At the time I was inspecting the basement, the basement door was unlocked. Upon entering the door at the top of the basement steps there was shelving. On this shelving there was several poisonous substances which included Lysol toilet bowl cleaner, Lysol disinfecting spray, murphy's oil soap, antibacterial wipes for the counter tops, along with other household cleaners. These items should be locked in this home. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Prior to the inspection being completed on 11/2/23, this provider¿s group home supervisor, Program Specialist, and Operations Director ensured that all poisons in the home were immediately locked and away from the individuals. |
12/01/2023
| Implemented |
| 6400.62(c) | Poisons shall be stored in their original labeled containers. At the time of the inspection there was a great value spray bottle with a green liquid inside of the bottle stored under the kitchen sink. The staff was unable to determine what the green liquid was at the time of the inspection and assumed it to be a Lysol spray. | Poisonous materials shall be stored in their original, labeled containers. | Prior to the inspection being completed on 11/2/23, this provider¿s group home supervisor, disposed of the plastic spray bottle that did not originally house the poison that it contained. Group home supervisor then addressed the importance of ensuring that all poisonous materials and chemicals are kept in their original containers on 11/3/23. |
12/01/2023
| Implemented |
| 6400.64(a) | There was a non-working toilet in the basement of this home. The area which the toilet was in had a very strong foul odor in this area. The agency reports that the toilet is not in use and no one uses the basement toilet. The area did not appear to be clean and sanitary. | Clean and sanitary conditions shall be maintained in the home. | Prior to the end of the inspection day, 11/2/23, The ReDCo Group Office Manager scheduled an appointment with Essig Plumbing for evaluation of the toilet that was deemed to be non-functional.
On 11/3/23, Essig plumbing arrived and was able to ensure that there were no lingering problems or long-term challenges, the toilet was functional and needed to be used more frequently. |
12/01/2023
| Implemented |
| 6400.66 | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The doorway which exits to the side of the garage did not have an exterior light. There was a separate room off of the main level of the basement. This room lighting was not sufficient as the ceiling light was burned out. The light should be replaced to assure safety and avoid accidents. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| On 11/3/23, this provider¿s program specialist purchased a battery-operated light to be mounted at the garage exit of the group home. On 11/6/23, this light was mounted in order to ensure appropriate levels of lighting at the exit in question.
Prior to the end of day on 11/2/23, the group home supervisor attempted to fix the lack of lighting by replacing old light bulbs in the basement with new ones. These attempts were unsuccessful, so the group home supervisor and program specialist entered a maintenance request work order to fix the potential electrical issues on 11/3/23. |
12/01/2023
| Implemented |
| 6400.67(b) | Floors, walls and ceilings shall be in good repair. At the time of the inspection there was an electrical outlet located in the hallway by the poison closet. This electrical outlet was not covered with the electrical outlet cover. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Prior to the inspection being completed, the group home supervisor covered the uncovered electrical outlet/socket with a spare outlet cover. |
12/01/2023
| Implemented |
| 6400.82(f) | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. At the time of the inspection the bathroom in the hallway did not have hand soap, paper towels, or toilet paper. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Upon completion of the inspection on 11/2/23, the group home supervisor added toilet paper, paper towels, and hand soap to the bathroom in question. |
12/01/2023
| Implemented |
| 6400.171 | Food shall be protected from contamination while being stored. At the time of inspection there was a country crock butter container in the top kitchen cabinet. Upon opening the container there was what appeared to be sugar in this container. The butter container being used to store another food item does not protect the food from contamination. | Food shall be protected from contamination while being stored, prepared, transported and served.
| Prior to the completion of the inspection on 11/2/23, the group home supervisor immediately discarded the container in the kitchen trash can. Additionally, the group home supervisor stressed the importance of keeping food sources safe, secure, and sanitary by keeping all items in containers that are appropriate, clean, and safe for use.
On 11/3/23, the group home supervisor purchased a container specifically for sugar, labeling and dating it as appropriate. |
12/01/2023
| Implemented |
| 6400.32(h) | An individual has the right to privacy. At the time of inspection there was a hamper bin the basement of the home. Inside the hamper was empty blister packs of medication that was prescribed to Individual #7. The blister pack had personal information on it which was in an area that was accessible to anyone in the basement area. | An individual has the right to privacy of person and possessions. | Prior to the end of day on 11/2/23, the group home supervisor discarded all old medication blister packs appropriately by shredding the information that contained PHI, placing the remaining parts of the blister packs in the trash. Additionally, the group home supervisor did a walk-through of the remaining areas of the home to ensure that any and all PHI and client records were secured safely and per policy and regulation. |
12/01/2023
| Implemented |