People Inc. Level D Children’s Home

Non-compliance cited at a monitoring visit : 340:110-3-154(a)(6) Residents receive a medical examination by a licensed health care professional within 60-calendar days prior to ...

One resident file did not have verification of required medical examination.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(2)(C)(v) names and dated signatures of review participants.

Signature was not on review documents for one resident.

Non-compliance cited at a monitoring visit : 340:110-3-154(d)(1)(H) signed documentation the resident and parents were provided copies of program policies.

Resident signature was missing on document used to verify program policies were provided in two files reviewed during this audit.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(1) Comprehensive service plan. A written service plan is developed and documented for residents within 30-calendar days of ...

Initial service plan was not on file for one resident.

Non-compliance cited at a monitoring visit : 340:110-3-154(a)(6) Residents receive a medical examination by a licensed health care professional within 60-calendar days prior to ...

Documentation of medical examination for one resident reflects date that exceeds 30 days from admission.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(1)(B)(vi) names and dated signatures of those participating in service plan development.

No signatures obtained on initial service plan document for two residents.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(2)(C)(v) names and dated signatures of review participants.

No signatures obtained on service plan review documents for two residents.

Non-compliance cited at a monitoring visit : 340:110-3-157(k)(4) Broken, defective, or recalled furnishings and equipment are repaired or replaced.

Two love seats in north cottage with leather peeling on arm rests and other cushioned areas of the furniture.

Non-compliance cited at a monitoring visit : 340:110-3-153.1(l) Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.

One personnel without verification on file.

Non-compliance cited at a monitoring visit : 340:110-3-153.1(l) Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.

Verification of completing orientation within required time frame not on file.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(2)(C)(v) names and dated signatures of review participants.

Resident signature not obtained on review form and no reason is documented such as refusing or unable to sign is noted.

Non-compliance cited at a monitoring visit : 340:110-3-157(k)(4) Broken, defective, or recalled furnishings and equipment are repaired or replaced.

One couch in each cottage has torn areas that is exposing internal material.

Non-compliance cited at a monitoring visit : 340:110-3-154.5(c)(8) A first aid kit is available in the vehicle at all times.

First aid kit not located in one program vehicle that was available to be observed.

Non-compliance cited at a monitoring visit : 340:110-3-163(15)(D) Programs maintain current dog and cat vaccinations administered by a licensed veterinarian.

Two cats without current vaccination documentation on file.

Non-compliance cited at a monitoring visit : 340:110-3-154(b)(2)(A) The service plan is reviewed within 90-calendar days after development and at least every six months thereafter.

Ninety day service plan review that was due by 3-13-24 was not on file for one resident.

Non-compliance cited at a monitoring visit : 340:110-3-153.1(l) Orientation. Personnel receive orientation within 30-calendar days of employment.

Two personnel without verification of completing orientation within required time frame on file.

Non-compliance cited at a monitoring visit : 340:110-3-165(5)(B) Fire extinguishers. Fire extinguishers are provided in accordance with current adapted NFPA standard #10 "Portable Fire ...

Extinguishers in both cottages with expired tags as of 8-23.

Non-compliance cited at a monitoring visit : 340:110-3-163(1)(A) Exterior and interior surfaces are maintained in sound condition and free of holes, peeling paper, and paint.

Peeling paint located in southwest and northeast bedrooms of south cottage.

Non-compliance cited at a monitoring visit : 340:110-3-163(12) Electrical. The electrical distribution system is sized, installed, and maintained in a safe manner, per the Oklahoma ...

South Cottage has an outlet cover missing in southeast bedroom and day room under extinguisher east of main entrance.

Non-compliance cited at a monitoring visit : 340:110-3-157(h) Bathrooms. Bathrooms are maintained in a clean and sanitary condition with adequate ventilation.

Bathroom located in west hallway of north cottage presented with mold on baseboard and unknown stains on wall and ceiling around shower and handwashing sink.