| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.70 | A home shall have an operable, non-coin-operated telephone with an outside line that is easily accessible to individuals and staff persons. At the time of inspection there was no telephone located in the home. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| The agency now has the phone available at the home per the regulations. (Please see image sent via email) |
03/20/2023
| Implemented |
| 6400.73(a) | Steps exceeding two steps shall have a well-secured handrail. There were approximately 8 steps leading from the basement up to the bilco doors and it did not have a handrail. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | Handrail installed. (Please see image sent via email) |
03/20/2023
| Implemented |
| 6400.82(f) | Each bathroom and toilet area that is used shall have individual clean paper or cloth. At the time of the inspection, the bathroom located on the main level of the house near the kitchen did not have paper towels in it. | 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. | Towels are in place per the regulations. (please see the image sent via email) |
03/20/2023
| Implemented |
| 6400.141(c)(3) | Individual #1's physical examination dated 6/2/22 did not include Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service. | The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | Staff have reached out to the medical provider for completion with the agency paying the cost for the appointment. |
04/30/2023
| Implemented |
| 6400.141(c)(14) | Individual #1's physical examination dated 6/2/22 did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section of the physical examination was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Staff have reached out to the medical provider for completion with the agency paying the cost for the appointment. |
04/30/2023
| Implemented |
| 6400.32(r)(4) | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency both bedroom door locks in the house were "skeleton key locks "and this type of lock does not allow immediate access. | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | Keyed locks were installed for compliance with the regulations. |
03/20/2023
| Implemented |