| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(c) | There was no first aid manual in the first aid kit. | A first aid manual shall be kept with the first aid kit. | A first aid kit was placed in the home. |
09/08/2022
| Implemented |
| 6400.82(f) | No paper/cloth towels found in 2nd floor bathroom-replaced during inspection. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | paper towel was placed in the bathroom during inspection |
05/24/2022
| Implemented |
| 6400.110(b) | No operable smoke detector located within 15 feet of individual 2's bedroom. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | an operable smoke detector was on site during the inspection, but inspector overlooked it as it was at the begining of the entrance of the individual's bedroom. A picture of the smoke detector was sent the same week after the inspection. |
05/24/2022
| Implemented |