| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The window in Individual #1's bedroom had a broken blind rod on it and cobwebs covering the top corners of the window. | Clean and sanitary conditions shall be maintained in the home. | At Site 0179 the window in individual #1's bedroom had the broken blind rod on it and cobwebs covering the top corners of the window removed on 12/21/2022. The window was also completely sanitized at this time. On 12/29/2022 the whole window was replaced and updated by UCIP maintenance. |
01/30/2023
| Implemented |
| 6400.65 | The bathroom in the basement was not ventilated by at least one operable window or by mechanical ventilation. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| UCIP maintenance added ventilation to the bathroom in the basement at site 0179 on 12/29/2022. |
01/30/2023
| Implemented |
| 6400.72(a) | The staff room on the right side of the home had 4 crank turn operable windows which did not contain screens. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | On 12/29/2022 the 4 crank turn operable windows in the staff room on the right side of the home had screens placed in them. |
01/30/2023
| Implemented |
| 6400.111(a) | The basement did not have a fire extinguisher. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | On 12/21/2023 an operable fire extinguisher with a minimum 2-A rating was placed in site 0179's basement. |
01/30/2023
| Implemented |
| 6400.163(f) | The first aid kit located in an unlocked closet in the staff office contained Extra Strength non-Aspirin Acetaminophen 500mg. Individual #1 and Individual #2 are both assessed to be unable to self-administer medications | Prescription medications stored in a refrigerator shall be kept in an area or container that is locked. | The Acetaminophen 500mg was removed from the first aid kit immediately on 12/21/2022, when it was discovered to be in the first aid kit. |
01/30/2023
| Implemented |