| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | The water temperature read 140 degrees Fahrenheit during the time of inspection. The water temperature was checked the following day and read 114 degrees Fahrenheit, so water was adjusted properly. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Keystone regularly checks the water temperature in each home to ensure that it is within regulatory guidelines. When the water temperature measured this high during inspection, we looked into how this could be. We discovered that a particular staff was raising the water temperature on the hot water heater on the overnight to get the water hotter for cleaning and sanitation and on this day, she forgot to lower it. This staff person was counseled on the greater risk of raising the temperature and to not do this again. Keystone lowered the water temperature and it measured the correct temperature the evening of 6/27/22. The following day, the Lead Inspector revisited the home to retest the water to ensure that the temperature was within the guidelines; it was satisfactory |
06/28/2022
| Implemented |
| 6400.73(a) | A handrail is needed for the basement stairs. There is no railing for the bottom 6 stairs in the basement. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | This home was newly acquired and licensed this year. There was a handrail on the bottom portion of the steps but there wasn¿t one on the top portion of the steps. Our maintenance department installed a handrail on 7/20/22. |
07/21/2022
| Implemented |
| 6400.186 | Individual #3's assessment states that all poisons are kept locked, however during the time of inspection there were cleaners unlocked In a basement closet in which the individual has full access. The assessment needs to match what is being implemented in the home. | The home shall implement the individual plan, including revisions. | Staff had been cleaning and doing laundry that morning and failed to secure the cleaning supplies once they were done. Individual #3 is assisted with one to one staffing and is always in the presence of staff when in the basement or when using cleaning supplies. The cleaning supplies were immediately locked up and secured and counseled on the necessity of keeping these items secure. |
06/29/2022
| Implemented |