| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The oven, stove top and ventilation hood need a thorough cleaning and degreasing | Clean and sanitary conditions shall be maintained in the home. | The CEO scheduled a house deep cleaning provided by a third-party cleaning agency on 1/20/2023 to ensure clean and sanity conditions of the home. All current staff were retrained on house cleaning and sanitation (see exhibit B). New weekly cleaning log developed and utilized for all shift responsibilities which will be tracked by the house supervisor to ensure compliance (Exhibit C) |
01/20/2023
| Implemented |
| 6400.67(b) | The middle vacant bedroom has a plumbing access panel in the closet that is not securely affixed to the wall. | Floors, walls, ceilings and other surfaces shall be free of hazards. | On 1/3/2023 The plumbing access panel was affixed to the wall by a third-party contracting company - All In One Construction Company to ensure all floors walls, ceilings and all surfaces are from from hazards. |
01/20/2023
| Implemented |
| 6400.71 | The dining room phone does not have emergency numbers nearby. The emergency phone numbers for this home and all this providers home are located inside a binder that is not necessarily near the telephone. The emergency numbers were placed near the phone prior to the end of the inspection. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| On 12/23/2022, The CEO secured emergency phone numbers to the wall by the phone to ensure they are not misplaced away from the phone. All current staff were retrained on the agency policy and Chapter 6400.71 regulations of maintaining emergency contact information by the phone (see attached exhibit B). |
12/23/2022
| Implemented |
| 6400.82(f) | The basement bathroom does not include a sink, paper towels, wastebasket, or soap. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Due to the bathroom in the basement not containing a sink currently, the bathroom was locked on 12/23/2022 by the CEO and the key will be kept at the main office to ensure it is inaccessible by anyone until a sink can be installed. |
12/23/2022
| Implemented |
| 6400.112(e) | Asleep drill is not indicated on the forms. | A fire drill shall be held during sleeping hours at least every 6 months. | The CEO developed a new fire drill form to include the date, time, meeting location and all members involved in the fire drill (See exhibit D). Staff were retrained on utilizing the new form and capturing all information (see attached training sing-in sheet). |
01/20/2023
| Implemented |
| 6400.112(h) | There is no meeting place designation indicated on the fire drill logs | Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill. | The CEO developed a new fire drill form to include the date, time, meeting location and all members involved in the fire drill (See exhibit D). Staff were retrained on utilizing the new form and capturing all information (see attached training sing-in sheet). |
01/20/2023
| Implemented |
| 6400.181(e)(14) | The Assessment does not include individual number 1 ability to swim in water safely. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. | On 1/5/2023, the CEO retrained the Program Specialist and house supervisor on documenting each individual's knowledge of water safety and ability to swim on the annual assessment (See exhibit E). |
01/05/2023
| Implemented |