| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.43(b)(1) | Old individual records were stored on the basement floor wrapped in flat sheet bedding materials, which is not in accordance with Kenccid's records archive policy. | The chief executive officer shall be responsible for the administration and general management of the home, including the following: Implementation of policies and procedures. | The old individual records were removed from the basement floor on 12/16/2022 to assure regulatory compliance with 6400.43b1. See violation 3 attachment#26 |
12/16/2022
| Implemented |
| 6400.43(c) | Kenccid was mandated to evacuate the occupants of this entire duplex due to the cockroach infestation, however per their Emergency Disaster Response Plan (which also speaks to emergency relocations), they failed to notify ODP of the move and location. | A chief executive officer shall have one of the following groups of qualifications: (1) A master's degree or above from an accredited college or university and 2 years work experience in administration or the human services field. (2) A bachelor's degree from an accredited college or university and 4 years work experience in administration or the human services field. | The disaster Response plan was revised on 12/18/2022 to indicate whenever there is an emergency relocation of any individuals, KenCCID vacancy homes will be used first to accommodate the emergency relocation. If there are no suitable home, the hotel will be used to assure compliance with regulation 6400.43c. see violation 4 attachment#27. |
12/18/2022
| Implemented |
| 6400.64(a) | Large dust accumulation on bottom refrigerator vents. | Clean and sanitary conditions shall be maintained in the home. | The large accumulation on the bottom of the refrigerator vents were cleaned on 2/16/2022. See attachment#29. |
12/16/2022
| Implemented |
| 6400.64(a) | The basement was extremely cluttered and was being used to dump items that belonged elsewhere. There was a box of open and unopened expired food, and other household items that came from a Ridge Avenue home that staff stated was recently closed. | Clean and sanitary conditions shall be maintained in the home. | The basement was cleaned out on 12/15/2022. See attachment# 28. |
12/15/2022
| Implemented |
| 6400.64(b) | There was a massive roach infestation in this unit, observed in the kitchen. Licensing saw over two dozen roaches while inspecting the kitchen crawling in the food cabinets, the cutlery drawer, on the walls, coming out of the back of the stove, around the kitchen faucet and sink and on the cutting board near the sink. | There may not be evidence of infestation of insects or rodents in the home. | The home was inspected by a professional technician and preformed roach, rodent mice and ant service in duplex and basement. Maintenance sprayed cracks and crevices and treated all kitchen cabinets. Placed monitors and bait stations throughout duplex on 12/26/2022; 1/09/2023, 2/09/2023 and 2/16/2023. See attachment#24 Violation 1. |
02/16/2023
| Implemented |
| 6400.67(b) | There was a splintered area in the basement door that has not been addressed to have repaired. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The basement door was replaced on 12/16/2022. See violation#12 attachment# 28b. |
12/16/2022
| Implemented |
| 6400.67(b) | Two of the kitchen outlet covers were cracked in multiple places. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The two kitchen outlet covers were replaced on 12/16/2022. See attachment#30 & 30a. |
12/16/2022
| Implemented |
| 6400.82(f) | There were no paper or hand towels in the bathroom. Paper towels placed in bathroom before the conclusion of the inspection. | 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. | The Paper towel was placed in bathroom before the conclusion of the inspection on 12/13/2022. See violation 9 attachment#30b. |
12/13/2022
| Implemented |
| 6400.181(e)(3)(ii) | Individual 5' 6/7/22 assessment does not adequately address his communication skills. States non-verbal communication does not apply however he uses lots of non-verbal communication. States he understands simple phrases in English and strangers would have a very hard time understanding him, however during the licensing inspection this individual understood everything that was being said and would guide you to the area that you asked about. This individual was also not that hard to understand. | The assessment must include the following information: The individual¿s current level of performance and progress in the following areas: Communication. | Individual 5 6/7/22 assessment was corrected/revised to properly reflect/address the individual¿s level of communication skills on 12/28/2022. See attachment#31. |
02/28/2023
| Implemented |
| 6400.216(a) | The basement contained individuals' private information such as lifetime medical history, doctors' appointments, medication charts, individual records. | An individual's records shall be kept locked when unattended.
| The basement was cleared of individuals¿ PHIs on 12/15/2022. See attachment#28, violation 5. |
12/15/2022
| Implemented |
| 6400.32(d) | There was a massive roach infestation in the home, observed in the kitchen. Licensing saw over two dozen roaches while inspecting the kitchen crawling in the food cabinets, the cutlery drawer, on the walls, coming out of the back of the stove, around the kitchen faucet and sink and on the cutting board near the sink. | An individual shall be treated with dignity and respect. | The home was inspected by a professional technician and preformed roach, rodent mice and ant service in the duplex and basement. Maintenance sprayed cracks and crevices and treated all kitchen cabinets. Placed monitors and bait stations throughout duplex on 12/26/2022; 1/09/2023, 2/09/2023 and 2/16/2023. The home is declared free from any form of infestation activity by the treating technician. See attachment#24. |
02/16/2023
| Implemented |
| 6400.32(n) | The phone is this unit was not working at time of inspection. The House Manager was aware that this phone was not working and has frequently had intermittent operational issues yet could not produce one service ticket that had been submitted to address this issue. This phone was fixed by maintenance prior to licensing leaving this duplex. | An individual has the right to unrestricted and private access to telecommunications. | The phone in this unit was fixed on 12/13/2022 following the discovery that it was inoperable during the inspection. See in EIM incident# 9141385 & attachment #25 |
12/13/2022
| Implemented |