Inspection ID

Reason for Inspection

Inspection Date

Inspection Status

SIN-00216184

Renewal

12/09/2022

Compliant - Finalized

Regulation	LIS Non-Compliance Area	Correction Required	Plans of Correction	Correction Date	POC Status
6400.67(a)	The floors in the living room, bedroom, and basement areas had several tiles that were cracked and/or loose and in need of repair.	Floors, walls, ceilings and other surfaces shall be in good repair.	The floors in the living room and basement were repaired on 1/3/2023. (See attached pictures).	01/03/2023	Implemented
6400.32(h)	There was no covering/privacy screen on the bathroom window on the first floor.	An individual has the right to privacy of person and possessions.	MaryJo Home Care Quality Assurance personnel installed a plastic filter on the bathroom window to increase privacy on 1/4/2023. (See attached photos).	01/04/2023	Implemented