| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | There was Surface grease found on the kitchen hood and the adjoining cabinets. | Clean and sanitary conditions shall be maintained in the home. | The range hood was cleaned by the staff. The management and staff have been instructed to look for grease on the range hood and make sure that it is cleaned regularly. The program director will review physical site regularly to ensure compliance with all regulations. |
10/16/2019
| Implemented |
| 6400.76(a) | Individual #1 bedroom has a chest of drawers in which one of the drawers is not on its guides. | Furniture and equipment shall be nonhazardous, clean and sturdy. | This was corrected during the inspection. The drawer had come off track which was easily fixed. |
10/10/2019
| Implemented |
| 6400.80(b) | The back yard has a basketball stand, hoop and a nearby bench which are covered in significant areas of rust. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | We attempted to sand and paint the basketball pole but the maintenance crew decided it was best to remove the pole. which was completed on 11/12/19. Bench was removed also. |
11/12/2019
| Implemented |
| 6400.112(e) | Overnight fire drills were not held at this property every six months. For the 12 month period of 10/2018-9/2019, overnight fire drills were held on 6/28/19 and 7/31/19. | A fire drill shall be held during sleeping hours at least every 6 months. | The staff and management has been instructed on the requirement of performing overnight fire drill every six months as required by licensing. The manager will keep a schedule for completing fire drills as required to ensure compliance |
11/04/2019
| Implemented |