| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 20.34 | Access to the electric closet is not made accessible to the staff/individuals and/or licensing during inspection. | The facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agents of the Department to privately interview staff and clients. | The management office of the apartment building does not give access to the locked electrical rooms on the property. The management office will make a maintenance person available at the time of inspection to give access to look into the electrical room. |
07/07/2023
| Implemented |
| 6400.77(b) | The first aid kit did not contain tweezer or antiseptic. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Tweezers and Antiseptic were purchased the same day. A question was added to the fire drill form asking that the first aid kit be checked. |
07/05/2023
| Implemented |
| 6400.112(c) | Drills from 12/15/22 and 1/10/23 do not indicate whether or not the smoke detectors in the property were operative. The drill documents indicate a phone alarm was used. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | The Fire Drill form was updated to include a question asking about the operation of the smoke detector. The Residential Lead staff were trained on the importance of this step and that it's not enough to yell fire-fire. |
07/12/2023
| Implemented |