Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.15(a) | A self-assessment was not completed for this location. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, 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.
| DSS CEO, Program Specialist and HR Resource is scheduled to meet to complete the agency¿s Self-Assessment for this location on 10/14/22 |
10/30/2022
| Implemented |
6400.64(a) | There was an accumulation of dust on mini blinds throughout the apartment.
There was an accumulation of dust and debris on baseboards around the entire perimeter of the apartment. | Clean and sanitary conditions shall be maintained in the home. | Mini blinds were taken down and cleaned on 9/26/22. The mini blinds will be put on the staff chore list to be dusted every week by staff. The House manager will be responsible to ensure that this is being done when she completes her monthly onsite home evaluation checklist.
checklist will be completed on or before the 5th of every month.
The House Manager will submit the completed home safety evaluation checklist and a maintenance request form (if applicable) to Program Specialist and CEO for final review |
09/26/2022
| Implemented |
6400.67(a) | The refrigerator door handle is broken off and needs to be replaced. | Floors, walls, ceilings and other surfaces shall be in good repair. | On 10/3/22 CEO contacted company and ordered a replacement door handle for the refrigerator door. |
10/03/2022
| Implemented |
6400.67(b) | The free standing kitchen microwave interior lining is rusted in two areas and is a fire hazard. This microwave needs to be replaced immediately. | Floors, walls, ceilings and other surfaces shall be free of hazards. | On 9/15/22, CEO purchased new microwave in the kitchen |
09/15/2022
| Implemented |
6400.67(b) | The wall electrical outlet adjacent to the refrigerator is not securely affixed to the wall and is protruding out. | Floors, walls, ceilings and other surfaces shall be free of hazards. | On 9/10/22, Maintenance came out to secure the wall electrical outlet. |
09/10/2022
| Implemented |
6400.68(b) | The water temperature in the bathroom measured 125 degrees Fahrenheit. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | On 9/10/22, The water heater temperature has been lowered. The water temp was tested twice after the adjustment to ensure the reading was below 120 degrees. |
09/10/2022
| Implemented |
6400.104 | Notification was not provided to the fire department for this location. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| CEO updated the notification letter to be sent to the fire department for this location. A copy was emailed to the department on 10/3/2022. CEO is waiting for letter to be signed and sent back. CEO will follow up to ensure letter is received and filed. |
10/03/2022
| Implemented |
6400.110(a) | The second floor does not have a smoke detector. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | On 9/10/22, DSS maintenance put a smoke detector on the wall in front of the 2nd floor bedroom at this location. |
09/10/2022
| Implemented |
6400.111(a) | The fire extinguisher on the second floor is a classification 1-A rating, which is smaller than the 2-A minimum required size. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | On 9/15/22, CEO purchased a 2-A fire extinguisher for second floor at this location and got it inspected in accordance to regulations. |
09/15/2022
| Implemented |
6400.111(c) | There is no fire extinguisher in the kitchen. The only fire extinguisher on the first floor of this apartment is in the living room. | A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). | On 9/10/22, DSS Maintenance relocated fire extinguisher on the wall in the kitchen area. |
09/10/2022
| Implemented |