| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(c) | A white material consistent with hand soap was found in a decorative hand soap dispenser in the primary bathroom. Soaps and other poisons must be kept in their original labeled packaging. | Poisonous materials shall be stored in their original, labeled containers. | -Spray Cleaner located in the bathroom without the original label was discarded by Community Home Manager
-Spray cleaner was replaced with Cleaner in Original Container (without poisons), labeled, and locked away by Community Home Manager |
12/25/2021
| Implemented |
| 6400.66 | The light in the heater room in the basement was not consistently operational at time of inspection. It took a long while to get the light to stay on: at first, agency staff had to hold the string taut to get it to stay powered up; eventually, it stayed powered on its own, but frequently flickered. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| -Work order was submitted and completed by Compliance Dept to JDB services.
-Work was completed by JDB services to ensure light did not flicker and powered on upon request without any concerns. |
12/23/2021
| Implemented |
| 6400.76(c) | The lamp in individual#1's room operational but missing a shade, and it could not be found at time of inspection | Furniture shall be comfortable and home-like. | -Work order was submitted and completed by Compliance Dept to JDB services.
-Work was completed by JDB services to ensure shade was provided and furniture is comfortable and home like. |
12/23/2021
| Implemented |
| 6400.112(f) | All fire drills reviewed list the front door as the exit used for the drill. The property has other access points beyond its front door, namely two garage doors and a back door, accessible through the basement. Drills must vary the access points used | Alternate exit routes shall be used during fire drills. | -Unannounced Fire Drill Ran for the Month of December by DSP Staff with Community Home Manager using alternate exit route. |
12/23/2021
| Implemented |