| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The self-assessments of the homes were not completed within 6 months of the expiration of the license or 3-6 months after departments last visit. The self-assessments were dated from 10/28/2022 through 11/10/2022. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| All future self assessments will be done within 3-6 months of licensing departments last visit. There was a miscommunication with Covid and rechecking them within 30 days of licensing. In the future, they will be completed 3-6 months from licensing's last visit. |
12/09/2022
| Implemented |
| 6400.72(b) | The bathroom door when closed left a sizable gap able to look through. Individual # 1-bedroom door did not properly close and open. There was no handle, latch or lock in place. | Screens, windows and doors shall be in good repair. | Request was sent to OPS for areas of non compliance. Bathroom door gap was repaired and bedroom door was changed so it now opens and closes properly. (Attachment # 41) |
01/04/2023
| Implemented |
| 6400.111(a) | The basement level did not have a fire extinguisher. An extinguisher was immediately provided after initial review. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | A fire extinguisher was provided during licensing. Fire Extinguishers are provided and maintained by Atomic Fire Extinguisher Service. |
11/29/2022
| Implemented |