Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | The kitchen floor of the home is in need of repair and could cause a tripping hazard. | Floors, walls, ceilings and other surfaces shall be in good repair. | We have been in contact with the landlord in 2022 and 2023 about repairs needed to the house which were not completed. The kitchen floor was replaced by our program to ensure compliance [Attachment D and E].. |
09/09/2023
| Implemented |
6400.73(a) | The ramp located outside does not have a secured handrail and exceeds 18-inches. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | This ramp has been present at the home for many years and it did not meet the height requirement for a handrail. Due to age and the ground sinking a bit it now meets the requirement. Handrails were installed on the ramp [Attachment F and G]. |
09/10/2023
| Implemented |
6400.110(b) | There was no operable smoke detector located 15 feet from the individual's bedroom. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | Fire drills continue to be completed monthly. The fire drill policy was reviewed with staff. The smoke detector was installed [Attachment H]. |
08/09/2023
| Implemented |