| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(c) | Poisonous materials shall be stored in their original, labeled containers. At the time of the inspection, located at the kitchen sink was a white unlabeled soap dispenser filled approximately 1/8 of the way with a clear liquid. Located at the sink in the laundry room was a small clear unlabeled push top bottle that was filled approximately ¼ of the way with a cream-colored liquid. Located in the basement bathroom sink was a gold and clear decorative soap dispenser that was filled approximately 1/8 of the way with a clear liquid. | Poisonous materials shall be stored in their original, labeled containers. | On the date of inspection, the soap container was discarded immediately. |
10/26/2023
| Implemented |
| 6400.67(a) | Floors, walls, ceilings, and other surfaces shall be in good repair. At the time of the inspection, the wall toilet paper holder was broken as the one mount was unattached from the wall and laying on the heating element on the floor. The toilet paper holder itself was also laying on the heating element on the floor as well. | Floors, walls, ceilings and other surfaces shall be in good repair. | The toilet paper holder was repaired within 24 hours of the licensing date. |
10/26/2023
| Implemented |
| 6400.111(a) | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. At the time of the inspection, there was no fire extinguisher in the attic. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | An operable, inspected and tagged fire extinguisher was immediately placed in the attic. |
10/19/2023
| Implemented |
| 6400.113(a) | There was no documentation or record that Individual #1 received fire safety training in 2022. Individual #1 received fire safety training on 3/1/23 and again on 9/17/23. | An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. | Individual #1 had received Fire Safety training on 9/17/2023. Training will be provided in March and every 6 months following. |
10/26/2023
| Implemented |
| 6400.142(a) | Individual #1 had a dental examination completed on 5/4/21, and their next one was completed on 3/16/23. This exceeds the requirement. | An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | Individual #1 will have a follow-up appointment scheduled no later than 3/16/2024. Individual #1's dentist will be contacted to receive recommendation on new upper and lower dentures for ideal fit & bite to restore chewing surface. |
10/26/2023
| Implemented |
| 6400.142(f) | The dental hygiene plan in individual #1's record dated 3/16/23 was left blank, and there was no record of one being completed prior for Individual #1. | An individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. | Individual #1 will have a follow-up appointment scheduled no later than 3/16/2024. Individual #1's dentist will be contacted to receive recommendation on new upper and lower dentures for ideal fit & bite to restore chewing surface. Individual #1 will have a dental hygiene plan completed at her upcoming appointment. |
10/26/2023
| Implemented |