Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.64(a) | The freezer contained meats which did not have dates of expiration; it was unable to be determined if the meats were safe to eat. | Clean and sanitary conditions shall be maintained in the home. | The home disposed of all meat that was not dated once the notification was made. Any meat impacted was disposed of on the same day of the notification. Moving forward, all staff must ensure that any new meat products are dated before going into the fridge or freezer.
The Compliance Officer has done a review of the home to ensure that the issue has been corrected. Further, each of the residences has also been checked to make sure they are in compliance. They are in compliance. |
08/15/2022
| Implemented |
6400.74 | The front door steps are made of wood and do not have a non-skid surface. | Interior stairs and outside steps shall have a nonskid surface.
| The front porch steps did not have non-skid surfaces upon inspection. ISG has contracted its facilities crew to address physical site issues such as these on an ongoing basis and in a timely manner. The crew was called in immediately upon notification of the violation. The non-skid step tape was applied on the same day as the notification. A photo of the skid-free steps is attached (Attachment #5) for reference. |
08/11/2022
| Implemented |
6400.106 | The home had a furnace inspection on 03/2/21 and not again until 07/05/22. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| The violation occurred as a result of COVID constraints on jobs. The furnace inspection specialist, , had been scheduled to occur at the right time. However, Haller canceled on the scheduled day because their staff was sick with COVID.
The furnace inspection for the upcoming year (2023) has been scheduled by ISG. ISG has a contract with that they should come for the inspection before the due date annually. Barring any unforeseen circumstances, this is activated in their system when due. In addition, the Compliance Officer has a checklist of the due dates so ISG can follow up with before an inspection is due. Each of the ISG residences has also been reviewed to ensure that they are in compliance. They are all in compliance. |
08/11/2022
| Implemented |