| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The bath tub shower liner and area around the nonslip mat in the bathroom shower had residue consistent with mildew build up on the surface. | Clean and sanitary conditions shall be maintained in the home. | The tub was thoroughly cleaned and disinfected. Both the shower liner and non skid mat were replaced with a new ones. |
06/28/2022
| Implemented |
| 6400.66 | The enclosed front porch mudroom area did not have a light. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| This is a sun porch with windows on 3 sides of it, therefore we felt that there was sufficient light for this area coming from the direct sun and lights illuminating from the attached living room. We were unaware that a porch light was needed for this type of area. A lamp has been placed on the porch satisfy this compliance area. |
07/21/2022
| Implemented |
| 6400.82(f) | The basement bathroom located near the laundry area was missing a mirror and hand towels. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | The bathroom in the basement is not the main bathroom in the home so it was overlooked during the physical site inspection by management and the house supervisor and did not have a mirror nor hand towels in it. A mirror and hand towel rack was installed on 6/29/22. |
06/29/2022
| Implemented |
| 6400.186 | Cleaners such as bleach were discovered unlocked in the lower base cabinet to the right of the refrigerator in the kitchen. Laundry detergent was on the floor next to the washer in the basement. The current Individual support plan for Individual #4, dated 7/1/21- 6/30/22, as well as the pending plan states that the residential home locks poisonous materials. | The home shall implement the individual plan, including revisions. | Individual #1 Annual ISP states that he will not ingest non edible items and is safe, but it also indicates that these items are locked up as this is Keystone's standard protocol. On the morning of inspection staff failed to secure these items. We secured immediately after inspection and staff were reminded about securing all poisonous items. Additionally, Individual #1 Supports Coordinator was contacted to have this portion of his ISP updated to reflect his ability to safely use poisonous items and safely be around poisonous items and that they did not need to be locked. The supports coordinator agreed and went in to his ISP to update it, but could not edit it because it is in a
"pending approval" status. Once the ISP is approved, the supports coordinator will go in to update his plan. See attached correspondence. |
07/21/2022
| Implemented |