| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.62(d) | A poisonous cleaning material was stored in the same kitchen cabinet as cooking oil. | Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. | This was corrected the day of the inspection |
06/12/2025
| Implemented |
| 6500.67 | The bathroom sink cabinet door was not connected to the bottom hinge.
One of the 2nd floor bedroom doors was not connected to its hinges and came off the hinges when it was opened. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The door on the bathroom cabinet has been repaired |
07/30/2025
| Implemented |
| 6500.102 | There was excess lint in the dryer's lint catcher. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. | This was corrected the day of the inspection |
06/12/2025
| Implemented |
| 6500.109(f) | 6/21/2024, 9/20/2024, 12/21/2024, 3/21/2025 -- No alternate route indicated, only Front door. | Alternate exit routes shall be used during fire drills. | JEVS administration met with the life sharing team to discuss how to complete fire drills correctly. The life sharing staff will meet with each provider to ensure they understand the requirements. |
06/12/2025
| Implemented |
| 6500.32(h) | There was a ring camera in the living room pointed towards the kitchen. | An individual has the right to privacy of person and possessions. | The camera was removed and the provider was instructed on why she could not have it in her home. The camera was removed on June 6, 2025. |
06/20/2025
| Implemented |
| 6500.136(a)(11) | There was no Dx or purpose for the medications on the MAR od individual 10. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | JEVS worked with the pharmacy and the diagnosis and purpose for all medications has now been added to the MARS. |
07/23/2025
| Implemented |
| 6500.136(b) | Individual 10 - Depakote 500 mg at 8AM was not signed off on MAR but dose was missing from BP.
Haldol 20 mg was signed off as being administered on 06/05/25 at 2 pm, but it is to be administered at the day program.
Benadryl 50 mg at 8 PM -- a dose was missing for 06/05/25, but was not signed off on MAR.
Seroquel 200 mg at 2 PM was signed off on MAR for 06/02 & 06/03 but Med was administered at the day program.
Seroquel 400 mg at 8 PM, the 06/05/25 dose was missing from the blister pack, but was not signed off on MAR. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | This issue occurred because the individual went to camp. He took his medication, but the provider did not account for documenting the administration of the medication. Going forward the provider will document that medication was given out of the home and by whom when this situation comes up again. |
06/16/2025
| Implemented |
| 6500.137(a)(1) | Individual 10 - Neurontin 300 mg was last administered on 06/05/25 at 8 AM. The care giver stated that the medication had run out.
Haldol 20 mg was not administered on 06/06/25 at 8 AM
Zoloft 100 mg at 8 AM was not administered on 06/06/25 at 8 AM
Vitamin D3 1,000 units was not administered on 06/06/25. | Medication errors include the following: Failure to administer a medication. | This issue occurred because the individual went to camp. He took his medication, but the provider did not account for documenting the administration of the medication. Going forward the provider will document that medication was given out of the home and by whom when this situation comes up again. |
06/20/2025
| Implemented |