| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.65 | The bathroom on the second floor of the home does not have mechanical ventilation. The window in this bathroom does not have a screen. In addition, there is a curtain nailed tightly to the top and bottom of the window, preventing it from being opened. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| An adjustable window screen was purchased on 8/9/2021 for the bathroom window that does not have a screen. Screens will be stored directly beside the windows that do not have permanent screens and will be at hand to be put in place anytime that the window would need to be opened. The curtain that was nailed over the window was removed from the window on July 30, 2021 and the window can be opened. |
08/31/2021
| Implemented |
| 6400.72(a) | The window in Individual #1's bedroom does not have screens. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | An adjustable window screen was purchased on 8/9/2021 for Individual #1's bedroom that does not have a screen. The screen will be stored directly beside the window that does not have a permanent screen and will be at hand to be put in place anytime that the window would need to be opened. |
08/31/2021
| Implemented |
| 6400.46(b) | Direct Service Provider #1 was trained in fire safety on 7/10/2019 and then again on 5/28/2021. Program Specialist #2 was trained in fire safety on 2/7/2020 and then again on 5/18/2021. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | DSP #1 will complete fire safety training before 11/28/2021 and Program Specialist #2 will complete fire safety before 11/18/2021 to follow the agency procedure of completing the training every 6 months and the regulation requirement of completing it annually. |
08/31/2021
| Implemented |