| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The agency did not complete a self-assessment of the home within 3 to 6 months prior to the expiration date of the agency's certificate of compliance. | 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.
| A self assessment for Bonnie Drive home was started on 5/16/22 and completed on 6/13/22 and signed by Katie Goetz, Program Specialist. |
12/29/2022
| Implemented |
| 6400.151(c)(3) | Staff #1's physical examination dated 6/8/22 did not include a signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | Staff #1's physical examination is scheduled to be redone. It will be completed on 1/4/23. |
01/04/2023
| Implemented |
| 6400.46(b) | Staff #1's annual fire safety was completed late. Staff #1completed fire safety on 4/23/21 and did not complete it again until 5/5/22. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | Staff #1 received the fire safety training unfortunately it was past the required due date. Going forward I will make sure staff #1 completes her training on time. |
12/29/2022
| Implemented |