| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | There was no documentary evidence that a self-assessment was completed for this location. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| The agency COO will assure that each Self Inspection is completed and stored in a secure location within the regulatory timeframe 3 to 6 months prior to to the expiration of the agency's Certificate of Compliance. |
04/19/2024
| Implemented |
| 6400.66 | At the time of inspection, the lighting fixture in the basement bathroom was not operable via its associated light switch. In addition, 3 of the 5 lightbulbs in the outdoor lighting fixtures in the front of the home were absent or non-functional, providing---at most---less than half of the illumination intended by the design and positioning of the lighting fixtures. The inadequate lighting in these areas of the home would be potentially hazardous in the dark. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Agency Representative placed the lightbulbs to the aforementioned outdoor fixtures and repaired the light switch for the bathroom in the basement. For this home the repairs occurred 3/19/2024. |
04/19/2024
| Implemented |
| 6400.80(b) | The sharp end of a screw was found protruding approximately less than ¼ inch from a portion of the railing on the front porch of the home in an area of the railing that would be likely to be grabbed for support---the condition of this railing was therefore unsafe. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | Agency Representative corrected the unsafe condition of the protruding screw on the handrail. |
04/19/2024
| Implemented |
| 6400.81(k)(6) | There was no mirror in Individual #3's bedroom at the time of inspection. | In bedrooms, each individual shall have the following: A mirror. | Agency Representative placed a mirror in the individual's bedroom. |
03/19/2024
| Implemented |