Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.64(e) | At inspection, there was not a lid on the trash can over 18 inches outside of the home. | Trash receptacles over 18 inches high shall have lids. | CEO (JE) BOUGHT ANOTHER RECYCLE TRASH CAN WITH A LID. STAFF WILL MAINTAIN A TRASH CAN WITH A LID AT ALL TIMES |
03/04/2021
| Implemented |
6400.64(f) | At inspection, the trash outside of the home was not kept in a closed receptacle. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | CEO (JE) BOUGHT ANOTHER RECYCLE TRASH CAN WITH A LID. STAFF WILL MAINTAIN A TRASH CAN WITH A LID AT ALL TIMES |
03/04/2021
| Implemented |
6400.67(a) | At inspection, multiple sections of the ceiling tile were damaged by what appeared to be a leak. | Floors, walls, ceilings and other surfaces shall be in good repair. | CEO (JE) REPLACED THE STAINED BASEMENT CEILINGS ON 03/04/2021 |
03/04/2021
| Implemented |
6400.67(b) | At inspection, there were loose, stained, and missing pieces of tile in basement. | Floors, walls, ceilings and other surfaces shall be free of hazards. | CEO (JE) REPLACED THE STAINED BASEMENT CEILINGS ON 03/04/2021 |
03/04/2021
| Implemented |
6400.77(c) | At inspection, the first aid kit did not contain a first aid manual. | A first aid manual shall be kept with the first aid kit. | CEO (JE) PLACED THE MAINTAIN THE FIRST AID MANUAL INSIDE THE THE FIRST AID BOX |
03/03/2021
| Implemented |
6400.110(a) | At inspection, the smoke detectors in the dining room, and on the third level of the home were not operable. The only operable smoke detector was in the basement of the home. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | CEO (JE) BOUGHT A NEW INTERCONNECTED SMOKE DETECTORS . |
03/04/2021
| Implemented |
6400.110(e) | At inspection, the smoke detectors were not interconnected, and not audible throughout the home-multiple attempts were conducted by staff during the inspection. | 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. | CEO (JE) BOUGHT A NEW INTERCONNECTED SMOKE DETECTORS . |
03/04/2021
| Implemented |
6400.32(d) | At inspection, Individual #1's clothes were housed in the kitchen cabinets and basement closet-same not listed in isp/assessment. | An individual shall be treated with dignity and respect. | PROGRAM SPECIALIST DID A REVISION OF THE ASSESSMENT AND SUPPORT COORDINATOR DID A CRITICAL REVISION ADDING TO THE ISP , THAT THE INDIVIDUAL DECIDED TO STORE HIS CLOTHING AT THOSE LOCATION BECAUSE HE DOES NOT LIKE HAVING CLOTHING IN HIS ROOM AND HE DOES HAVE ACCESS TO THEM WHEN HE NEED THEM. |
04/12/2021
| Implemented |
6400.183(c) | No documentation provided to verify participants in ISP meeting for Individual#1. | The list of persons who participated in the individual plan meeting shall be kept. | PROGRAM SPECIALIST WILL REQUEST THE SIGNING SHEET FROM THE SCO AFTER ALL ISP MEETING AND WILL ENSURE THAT ALL SIGNING SHEETS RECORDS ARE KEPT. |
03/04/2021
| Implemented |