Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.72(a) | During the inspection conducted on 10/19/2022, the window in individual #1's bedroom, adjacent to the head of the bed, did not contain a screen. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Window screens were ordered on 10/25/22 and installed on 10/27/22. |
10/27/2022
| Implemented |
6400.77(b) | During the inspection conducted on 10/19/2022, the first aid kit did not contain tweezers. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Tweezer were replaced in the first aid kit at this location on 10/24/2022. |
10/25/2022
| Implemented |
6400.81(k)(6) | During the inspection conducted on 10/19/2022, no mirror was present in individual #1's bedroom. | In bedrooms, each individual shall have the following: A mirror. | A mirror was purchased on 10/25/22 and put in the individual bedroom. |
10/25/2022
| Implemented |