| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.43(b)(4) | On 6/16/22, Licensing Representatives conducted an unannounced inspection of this home due to a complaint that individuals were residing in a home still under construction. Upon arriving at the home, Licensing Representatives discovered multiple areas of non-compliance to include no smoke detectors outside of bedrooms and in the attic, lack of a fire extinguisher in the attic, lack of bedding and bedroom furniture, multiple areas of exposed wiring and an exposed electrical panel, lack of handrails and non-skid surfaces on stairs, a broken window pane, and multiple hazardous surfaces. One individual residing in the home is hard of hearing and the smoke alarms were not adapted to alert this individual in the event of a fire. The outside grounds of the home were overgrown and contained areas of broken glass, exposed wiring, an operable circular saw, and a dilapidated greenhouse. Unlocked poisons were found throughout the home and grounds. The CEO, Staff #1, had submitted a Self-Inspection Tool to the Department on 6/10/22 in order to obtain a Certificate of Compliance for this home. The Self-Inspection Tool was approved by the Department on 6/13/22. Staff #1 falsely reported full compliance with Chapter 6400 on this Self-Inspection Tool. Staff #1 told Licensing Representatives that Staff #1 believed the home would be in full compliance prior to individuals residing in the home, but had taken admissions to the home as Staff #1 felt pressure to do so from a hospital who had been treating the individuals. Staff #1 did not maintain compliance at this home and falsely reported on a Self-Inspection Tool submitted to the Department that this home was in full compliance in order to obtain a Certificate of Compliance. | The chief executive officer shall be responsible for the administration and general management of the home, including the following: Compliance with this chapter. | The CEO was retrained on the 6400 regulations on 7/5/2022 by viewing the 6400 regulatory compliance guide webinar posted on My Odp. Also, the CEO read the full instructions for self-inspection and declaration tool. |
07/05/2022
| Not Implemented |
| 6400.62(a) | According to Individual #1's Individual Support Plan (ISP) poisons need to be locked up. A gallon can of paint was in the kitchen. | Poisonous materials shall be kept locked or made inaccessible to individuals. | The gallon of paint was removed and stored in the locked garage. |
06/17/2022
| Not Implemented |
| 6400.66 | The front porch and side door exit did not have an outside light. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| An outside light was installed over the front porch and side exit. |
06/16/2022
| Not Implemented |
| 6400.67(a) | The hardwood floors in the room located across from the dining room were unfinished. The hardwood floor located in Individual #2's bedroom were also unfinished and had numerous stains on it. A doorknob was missing from the basement door. The bottom right glass windowpane in the side door had a crack in it. Surfaces shall be in good repair. | Floors, walls, ceilings and other surfaces shall be in good repair. | Carpets were place over the floors that were unfinished. A doorknob was affixed to the basement door. The glass windowpane in the side door was repaired. |
06/17/2022
| Not Implemented |
| 6400.67(b) | The light switch to go down to the basement did not have a light switch cover on it exposing wires. The basement had numerous rusty and bent nails on the floor, an orange extension cord running through it causing a tripping hazard, and various other construction items in the basement (boards, paint cans, and tools). The electrical panel located at the bottom of the basement steps did not have a covering on it exposing the wires. The room located across from the dining room had paint cans and boards in it unattended. The room located across from the dining room had an outlet missing an cover exposing wires. Wires were exposed on the side of the house. When you entered the upstairs bathroom one of the floor ceramic tiles were cracked. The right toilet seat hinge was broken. There was approximately 3 cigarette packs and 2 lighters sitting out unattended on the front porch. Surfaces shall be free of hazards. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The Property Manager affixed a cover over the light switch going down to the basement. The basement was cleaned and all of the possible hazards were removed from there. The electrical panel lid was placed back on to the box. The room located across the dining room was cleaned and no longer has any hazardous material in it. An outlet cover was affixed over the outlet that was missing a cover. The property manager also placed a cover over the exposed wires on the side of the house. The ceramic tile that was cracked in the bathroom was repaired. The toilet seat hinge was repaired as well. The cigarette packs and 2 lighters were removed from the porch. |
06/17/2022
| Not Implemented |
| 6400.68(a) | The water in the upstairs bathroom bathtub only measured at 97 degrees Fahrenheit. | A home shall have hot and cold running water under pressure. | The water temperature was raised slightly. The CEO checked the water temperate in the upstairs bathroom and it read to be 103. The downstairs kitchen faucet read 118. |
06/17/2022
| Not Implemented |
| 6400.73(a) | The basement had approximately 4 steps leading out to the bilco doors that did not have a handrail. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | The property manager installed a handrail leading out to the bilco doors in the basement. |
06/17/2022
| Not Implemented |
| 6400.74 | The steps leading down the basement did not have a nonskid surface on them. | Interior stairs and outside steps shall have a nonskid surface.
| The Property Manager installed anti-skid stair treads to the steps leading down to the basement. |
06/17/2022
| Not Implemented |
| 6400.80(a) | A circular saw was located at the bottom of the front porch steps plugged in and unattended. Outside walkways shall be free from obstructions and other hazards. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | The circular saw was removed by the property manager and locked away in storage. |
06/17/2022
| Not Implemented |
| 6400.80(b) | The yard of the home was overgrown with grass. The backyard had numerous pieces of shattered glasse in it. There is a greenhouse located in the backyard that is dilapidated and falling down as well as containing several old paint cans and other debris. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | The Property Manager cut the grass and removed all debris from the yard including the shattered glass. the greenhouse located in the backyard was cleaned out and repaired. |
06/17/2022
| Not Implemented |
| 6400.81(k)(3) | Individual #2's only had a mattress in her room at the time of the monitoring there was no bedding, pillows, linens or blankets for it in the home. | In bedrooms, each individual shall have the following: Bedding, including pillow, linens and blankets appropriate for the season. | Staff from Independent Living LLC completed putting together all of Individual # 2's bed which was delivered in pieces from Big Lots and made sure that her bed was made with bedding, pillows, linens, and blankets on the same day that she moved in. |
06/16/2022
| Not Implemented |
| 6400.81(k)(4) | Individual #2 did not have a chest of drawers in their bedroom. | In bedrooms, each individual shall have the following: A chest of drawers. | Staff completed putting together Individual # 2's chest of drawers in her bedroom which was delivered in pieces by Big Lots. |
06/17/2022
| Not Implemented |
| 6400.81(k)(6) | Both Individual #1 and Individual #2 did not have mirrors in their bedroom. | In bedrooms, each individual shall have the following: A mirror. | The mirrors were installed in Individual #1 and Individual #2's bedroom. |
06/16/2022
| Not Implemented |
| 6400.101 | The bilco door egress in the basement was obstructed by a power washer. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| The power washer was removed by the property manager and stored away. |
06/17/2022
| Not Implemented |
| 6400.110(a) | Individual #1's bedroom had access to the pulldown attic in the closet, and there was no smoke detector located in the attic. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | The pulldown attic is not accessible and is bolted shut. |
06/17/2022
| Not Implemented |
| 6400.110(b) | There was no smoke detector located outside the Individuals bedroom area. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | New strobe light & smoke detectors were installed outside the Individual's bedrooms. |
06/20/2022
| Not Implemented |
| 6400.110(f) | According to Individual #1's Individual Support Plan (ISP) they are diagnosed with profound deafness and the home was not equipped with adapted equipment to alert individuals with a hearing impairment of a fire at the time of the monitoring. | If one or more individuals or staff persons are not able to hear the smoke detector or fire alarm system, all smoke detectors and fire alarms shall be equipped so that each person with a hearing impairment will be alerted in the event of a fire. | A bed shaker & strobe lights were installed for Individual # 1. |
06/20/2022
| Not Implemented |
| 6400.111(a) | The one bedroom had access to the pulldown attic in the closet, and there was no fire extinguisher located in the attic. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | The pulldown attic is not accessible and is bolted shut. |
06/16/2022
| Not Implemented |