| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(b) | At the time of the inspection, the first aid kit available in the home did not have a thermometer or scissors. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | 1. Immediate Corrective Actions:
a. On 10/12/2023, the agency registered nurse Procured a standard clinical thermometer and a pair of medical scissors to be included in the first aid kit.
b. After procurement on 10/12/2023, the agency nurse placed the newly acquired thermometer and scissors in the first aid kit. |
10/13/2023
| Implemented |
| 6400.82(e) | At the time of the inspection, the bathtub in the hallway bathroom and the shower in the master bathroom did not have a nonskid mat or surface. | Bathtubs and showers shall have a nonslip surface or mat. | 1. Immediate Corrective Action:
a. On 10/12/2023, the program specialist acquired nonskid mats for the bathtub in the hallway bathroom and the shower in the master bathroom.
b. On 10/12/2023, the program specialist installed the nonskid surfaces immediately upon receipt. |
10/13/2023
| Implemented |
| 6400.110(c) | At the time of the inspection, the fire extinguisher in the kitchen was a 1A 10BC rating, not the 2A 10BC rating required by regulation. | The smoke detectors specified in subsections (a) and (b) shall be located in common areas or hallways. | Immediate Corrective Action:
On 10/12/2023, the program specialist Procured a fire extinguisher with the required 2A 10BC rating immediately and ensured the replacement was in accordance with the regulatory standards and is suitable for kitchen use. |
10/13/2023
| Implemented |
| 6400.111(a) | At the time of the inspection, the fire extinguisher in the basement was a 1A 10BC rating, not the 2A rating required by regulation. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | Immediate Corrective Action:
On 10/12/2023, the program specialist Procured a fire extinguisher with the required 2A 10BC rating immediately and ensured the replacement was in accordance with the regulatory standards and was suitable for use. |
10/13/2023
| Implemented |