| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.63(a) | At, 1:10PM, the water hot water temperature measured 148.1F at the sink in the bathroom on second floor of the home. | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | On 2/19/24, the temperature on the water heater was reset and tested in the home at 110 degrees to ensure water temperatures in all areas of the home does not exceed 120 degrees. |
02/16/2024
| Implemented |
| 6400.110(e) | The smoke detectors were not interconnected when tested at 1:20PM. The home has three stories. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | On 2/16/24, all smoke detectors were serviced and interconnected on all three levels of the home. |
02/16/2024
| Implemented |
| 6400.142(c) | Individual #1's dental examination completed 2/16/23 did not include follow-up treatments recommended. The documentation was a bill for service invoice. | A written record of the dental examination, including the date of the examination, the dentist's name, procedures completed and follow-up treatment recommended, shall be kept. | On 2/16/24, a documentation for dental examinations was created by the PS in order to ensure that a written record of all dental examinations for individuals include: dentists name, procedures completed and any follow-up treatments recommended. |
02/16/2024
| Implemented |
| 6400.181(e)(4) | Individual #1's assessment, completed 1/10/24 did not include the supervision needs that were stated in Individual #1's Individual Support Plan, last updated 2/7/24, which stated "[Individual #1] needs staff during awake hours to remain in arms length." | The assessment must include the following information: The individual's need for supervision.
| On 2/19/24 the assessment was revised for Individual #1, to include "needs staff during awake hours to remain in arms length." |
02/19/2024
| Implemented |