| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The interior of the dishwasher has a build-up of green material consistent with mold or mildew. There was a thick build-up of lint in the dryer's lint trap. It was cleaned during the inspection. | Clean and sanitary conditions shall be maintained in the home. | Although the dryer¿s lint was cleaned by the CEO during the inspection, a thorough cleaning of site has been carried out on 1-16-23.
A daily task list has been amended to help staff maintain clean and sanitary condition in the home. |
01/16/2023
| Implemented |
| 6400.64(b) | A live roach was seen in the dishwasher. | There may not be evidence of infestation of insects or rodents in the home. | A professional cleaning and disinfestation have been carried out by a contractor on 1-16-23 and 1-23-23. |
01/23/2023
| Implemented |
| 6400.68(a) | The property does not have hot water under pressure consistently. When tested, the shower's temperature briefly hit 101 degrees, then fell rapidly to 70 degrees. | A home shall have hot and cold running water under pressure. | Provider's landlord have conducted maintenance on 12-21-22. |
12/21/2022
| Implemented |
| 6400.165(g) | Individual #2 was not seen by a psychiatrist every 90days to ensure his psychotropic medications are compliant. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | A medical visit plan form has been implemented by provider Program specialist to ensure all psychotropic visits are properly documented by individual 2 doctor. An appointment has been scheduled with individual #2 psychiatrist for 02-1-23. |
02/01/2023
| Implemented |
| 6400.213(1)(i) | Individual #2 does not have a clear and dated photo in the record. | Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number. | Program Specialist updated individual# 2 face sheet including a most recent picture taken 07-20-21. |
12/21/2022
| Implemented |