| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.82(e) | The bathroom shower tub did not have a non-slip mat at the time of inspection. | Bathtubs and showers shall have a nonslip surface or mat. | Program Manager and DSP's working at location will be re-trained in the above mentioned regulation. Bathtub/shower mat was purchased and placed in the home. |
12/31/2023
| Implemented |
| 6400.112(a) | At the time of the inspection there was no documentation of fire drills for this location. This location opened in June 2023. | An unannounced fire drill shall be held at least once a month. | Program Manager and DSP's working at all locations will be re-trained in the above mentioned regulation. Fire drill was completed. Fire drills will be conducted on a monthly basis. |
12/31/2023
| Implemented |
| 6400.32(r) | The individual had a pin hole lock on his bedroom door which does not provide the security of person and possessions as expected of this regulation. | An individual has the right to lock the individual's bedroom door. | Lock was replaced with appropriate lock for consumer. |
12/31/2023
| Implemented |