| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.67 | At the time of the inspection, there was broken glass on the basement floor. In addition, the ceiling in the individual's bedroom was breaking apart. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Glass was cleaned up immediately by LSP.
Ceiling was repaired by LSP.
PS and LSP were trained on this regulation and the POC, training documentation is on file and available upon request. |
03/19/2024
| Implemented |
| 6500.79(f)(5) | At the time of the inspection, there was no closet available in the individual's bedroom. | Closet or wardrobe space with clothing racks and shelves accessible to the individual. | A wardrobe was purchased and placed in the room. It is a small sized wardrobe and individual is fine with it being placed as it does not take much room. |
03/14/2024
| Implemented |
| 6500.80(c) | At the time of the inspection, there were no paper towels or individual hand towels available in the bathrooms. | At least one bathroom area shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Hand towels were placed in each bathroom. LSP and PS were re-trained on this regulation. |
03/19/2024
| Implemented |