| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Individual #3's ISP indicates poisons must be kept locked. An open bag of laundry detergent was found next to the dryer. | Poisonous materials shall be kept locked or made inaccessible to individuals. | The citated material was removed from the open place and was locked in a closet designated for the purpose. Correction was completed on 12-20-2022 |
12/20/2022
| Implemented |
| 6400.64(b) | Groups of dead flies were found on top both windows in the bedroom. | There may not be evidence of infestation of insects or rodents in the home. | The site has been sprayed and cleaned to ensure disinfestation of insects and rodents on 12/28/2022. |
12/28/2022
| Implemented |
| 6400.82(f) | There were no paper towels in the bathroom. | 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. | A paper towel was placed in the bathroom. The correction was implemented by the house manager. |
12/20/2022
| Implemented |
| 6400.112(c) | The fire drills dated 3/28/22, 4/28/22, 7/29/22, 8/22/22 are "2 mins exactly". A stopwatch or other device should be used to accurately determine the amount of time it takes to evacuate the residence. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | A retraining on fire drill record has been conducted on 01-10-2023 by the Program specialist and the CEO to ensure evacuation time are accurately captured. |
01/10/2023
| Implemented |