| 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 the Olyphant Avenue home was started on 5/23/22 and completed on 7/15/22. It was signed by Teresa DeRoss, Program Specialist. |
12/29/2022
| Implemented |
| 6400.151(b) | Staff #2's physical examination did not include a date that the physical examination was completed. | The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. | Staff #2's physical was redone on 12/26/22. It meets the requirements in chapter 64000.151b |
12/26/2022
| Implemented |
| 6400.151(c)(3) | Staff #2's physical examination 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 #2's physical was redone on 12/26/22. It meets the requirements in chapter 64000.151c3 |
12/26/2022
| Implemented |