| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The agency completed a self-assessment 1/10/2023, 7/23/2023, 1/08/2024 and not within 3 to 6 months prior to the expiration date of the agency's certificate of compliance. | 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.
| The management team(Site Supervisor, Compliance Specialist and Program Specialist) were trained on the self assessments and completion of self assessment tool in regards to regulation.15(a). |
02/05/2024
| Implemented |
| 6400.66 | On 1/31/2024, the light in the front of the home, above the front door, was not operable. There was no lighting in the back of the home near the back exit door, from the basement. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| The management team (CEO, PSS, Site Supervisor and Compliance Specialist were retrained with regulation 6400.66. On 2/1/24, CEO contacted the property management to assist with securing operable lighting. On 2/1/24, the property management sent maintenance to correct the violations; (the light in the front of the home, above the front door, was not operable. There was no lighting in the back of the home near the back exit door, from the basement) |
02/01/2024
| Implemented |
| 6400.70 | On 1/31/2024, the telephone was not operable. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| Management team was retrained on 6400.68(b) regulation on 2/5/24. CEO trouble shooted the phone and the cord connecting to the handset itself was loose. CEO firmly pushed the cord in at the phone was operable with a dial tone. On 2/6/24, CEO bought a new phone and replaced the old one. |
02/06/2024
| Implemented |
| 6400.101 | On 1/31/2024, the door leading to the garage, from the basement, had a deadbolt lock on basement side, and there was no exit from the garage. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| On 2/1/24, CEO contacted the property management (Residential Resources) who came the same day and replaced the dead bolt with a regular lock which is only needed for entry and not exit. The management team was retrained with regulation 6400.101. |
02/01/2024
| Implemented |
| 6400.110(e) | On 1/31/2024, at 10:24AM the smoke detector on the second floor of the home tested to be not interconnected with the first floor and basement level detectors. The home has three floors. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | The management team was retrained on regulations 6400.110(a). On 2/6/24 interconnected smoke detectors were installed within the house, tested and were working. |
02/06/2024
| Implemented |