| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.110(b) | There were no smoke detectors located within 15 feet of the individuals' bedroom doorways. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | Electrician was contacted and smoke detector was installed immediately after inspection. |
10/31/2022
| Implemented |
| 6400.52(c)(3) | The 24 hours of annual training completed by Staff #4 in training year 2021 did not include training in the area of Individual Rights. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights. | Training file for 2022 was reviewed and DSP has completed required training. |
10/31/2022
| Implemented |
| 6400.52(c)(4) | The 24 hours of annual training completed by Staff #4 in training year 2021 did not include training in the area of Recognizing and Reporting Incidents. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents. | Training file for 2022 was reviewed and DSP has completed required training. |
10/31/2022
| Implemented |