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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(b) | · There were multiple spider webs in individual's bedroom hanging from ceiling.
· Multiple spider webs on exit door leading out of the basement area. | There may not be evidence of infestation of insects or rodents in the home. | Program Manager directed residential support staff to clean all ceilings in the bedrooms of the residents for cobwebs. Exit door from basement was also cleaned and cleared of cobwebs. ( Attachment # 14) |
12/07/2022
| Implemented |
| 6400.65 | No was window or working mechanical ventilation found in the bathroom basement. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| Program Director sent email to OPS listing area on non compliance. A request was made and mechanical ventilation fan was installed in the bathroom. (Attachment #15) |
01/12/2023
| Implemented |
| 6400.72(b) | Window broken in individual's #1 bedroom. | Screens, windows and doors shall be in good repair. | Program Director sent email to OPS listing area on non compliance. A request was made and broken window in individual #1 bedroom was repaired. (Attachment# 16) |
01/03/2023
| Implemented |
| 6400.82(f) | · No trash can in hall bathroom-replaced during inspection
· No trashcan found in basement bathroom. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Program Manager asked staff to place small trashcan in bathroom during inspection. (Attachment# 17) Trashcan was out in bathroom during inspection. Program Manager asked staff to purchase a small bathroom trashcan. Trashcan was placed in basement bathroom. (Attachment# 18) |
12/05/2022
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | The office chair in the living room was torn on the seating surface. The air conditioner in Individual #1's bedroom had a broken front panel. The cover on the electric radiator in Individual #2's bedroom was broken. The dresser in Individual #2's bedroom was missing knobs. The curtain rod in Individual #2's bedroom was bent and broken. | Floors, walls, ceilings and other surfaces shall be in good repair. | The office chair in the living room was replaced 9/18/2015 (attachment #21). The air conditioner in Individual #1's bedroom was removed, due to the change of seasons (attachment #22). The air conditioner will be replaced before the next summer season. The cover on the electric radiator in Individual #2¿s bedroom was repaired 9/21/2015 (attachment #23). Missing knobs were replaced on the dresser in Individual #2's bedroom 9/21/2015 (attachment #24). The curtain rod in Individual #2's bedroom was replaced 9/21/2015 (attachment #25). To ensure compliance, Interact will assure that clean and sanitary conditions as well as furniture and equipment shall be nonhazardous, clean, and sturdy and well maintained in the home by inspecting the homes on a regular basis. Program managers will visit all their sites at least weekly and document such on CHS Review Checklist, which will be submitted to co-directors biweekly. Additionally, the CHS Co-Directors, the Assistant Director, and the Quality Assurance Specialist, on a weekly rotating schedule, will inspect all homes to make sure cleanliness is maintained, and conditions meet regulations. Visits will be documented. Any/all issues identified with any physical site requirements will be immediately addressed with the program manager and/or Operations as needed. |
09/21/2015
| Implemented |
| 6400.112(f) | Ten of the twelve fire drills completed over the past twelve months utilized the front door as the exit route. | Alternate exit routes shall be used during fire drills. | All staff at site were retrained by program manager and a memo was posted at site in regards to fire drill requirements and expectations, including varying exits (attachment #19). All fire drill forms will be submitted monthly to the assistance CHS director for review to ensure compliance with licensing regulations. Upon review, any issues will be immediately communicated to PM's and to CHS Co-Directors for appropriate follow up, including possibly repeating the drill during that same month if needed. In addition to monthly review of every drill, Assistant CHS Director will implement a tracking form system for fire drills to ensure they are being varied in time, days, location, exits, evacuation time, etc as required to monitor compliance (attachment #20) |
09/23/2015
| Implemented |
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