| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | The exterior door leading to Individual #2's bedroom did not have a light. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Light was installed on 9/29/2023 by facilty coordinator. |
09/29/2023
| Implemented |
| 6400.32(r) | Individual #2 did not have a lock on their bedroom door. | An individual has the right to lock the individual's bedroom door. | Facility Coordinator installed a lock on individual #2¿s door. Individual was also provided a key. |
09/27/2023
| Implemented |
| 6400.34(a) | Individual #1 was informed of their Individual Rights on 4/17/2023 but the rights statement that was reviewed did not contain the following rights:
i. 32r1 The bedroom door locking mechanism may be provided by key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.
ii. 32r3 Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | The individual rights form was reviewed and identified that this individual was reviewed with an outdated form.
The program specialist reviewed the individual rights form that includes language of 32r1 and 32r3 with individual #1. |
09/29/2023
| Implemented |