| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.17(a) | The self-assessment for this residence was not dated. Due to this, compliance could not be measured. | If an agency is the legal entity for the family living home, the agency shall complete a self-assessment of each home the agency is licensed to operate 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. | Self Assessment will be dated when the assessment is completed.
((staff responsible for completing the self-assessment will be trained on the regulatory requirement -CH 11/2/18)) |
10/31/2018
| Implemented |
| 6500.109(f) | Fire drills were held on 11/10/2017 and 5/5/2018. The exit routes were not alternated. The front door was utilized during both fire drills. | Alternate exit routes shall be used during fire drills. | Provider will be instructed to alternate exit routes when conducting fire drills. Program Specialist will monitor fire drills to ensure that alternate exits are being utilized. |
10/31/2018
| Implemented |
| 6500.151(e)(12) | There were no recommendations for trainings, programming and services in Individual #2's assessment dated 3/28/2018. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | The assessment will be reviewed to include training, programming and services for Mr. Noll. All future assessments will include this information. |
11/15/2018
| Implemented |
| 6500.151(e)(13)(viii) | This skill area was not assessed in Individual #2's assessment dated 3/28/2018. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas : Managing personal property. | The assessment will be reviewed to include skill and progress in managing personal property. |
11/15/2018
| Implemented |