| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(b) | It appeared to be mouse droppings on towels in the drawer in the kitchen and on the window sill. | There may not be evidence of infestation of insects or rodents in the home. | On 5/3/18 Orkin Pest Control conducted an onsite inspection and treatment. Orkin also sealed a large hole along the exterior of the facility on this date.
On 5/10/18 the Associate Director conducted training with Program Specialists and Residential Managers in ensuring that a sanitary condition is maintained at the home and there may not be evidence of rodents at the home including mouse droppings. Any evidence of mouse droppings will be reported to the Facilities Manager immediately. The Facilities Manager will contact Orkin Pest Control to schedule an onsite inspection and treatment as needed. |
05/10/2018
| Implemented |
| 6400.71 | The kitchen phone does not have emergency numbers listed on or near the phone. The living room phone does not have emergency numbers listed on or near the phone. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| On 4/26/18 emergency numbers were posted by the telephone in the kitchen.
On 5/3/18 the Associate Director conducted training with Program Specialists and Residential Managers in ensuring that telephone number of the nearest hospital, police department, fire department, ambulance and poison control center are posted by each telephone in the home with an outside line. The Residential Managers will complete a weekly check of all phone locations in the facility to ensure that emergency numbers are posted by each phone and will document and submit to the Program Specialist for review. The program specialist will also complete a monthly check during the routine monthly checks of the physical site of facilities on their caseloads to ensure that emergency numbers are posted by each phone location. |
05/03/2018
| Implemented |
| 6400.77(b) | There was no thermometer in the first aid kit. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | On 4/26/18 a thermometer was placed in the first aid kit.
On 5/10/18 the Associate Director conducted training with Program Specialists and Residential Managers to ensure compliance with the regulation. The site review checklist, completed monthly by the Residential Manager, will include verification that all required items are present in the first aid kit as required by regulation. The Program Specialist will review the checklist and will verify during the monthly Program Specialist physical site review that all required items are present in the first aid kit. |
05/10/2018
| Implemented |
| 6400.82(e) | The hallway full bathroom did not have a nonslip surface or mat. | Bathtubs and showers shall have a nonslip surface or mat. | On 4/27/18 a nonslip mat was placed in the hallway full bathroom.
On 5/10/18 the Associate Director conducted training with Program Specialists and Residential Managers in ensuring that bathtubs and shower have a nonslip surface or mat. The Residential Managers will check and document during weekly checks whether the bathroom has a nonslip surface and will submit to the Program Specialists for review. The Program Specialists will check during their monthly physical site review to ensure that bathtubs and showers have nonslip surface/mat. If replacement is needed, a purchase order will be submitted by the Residential Manager and will be replaced. |
05/10/2018
| Implemented |