| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | According to Individual #5 ISP, cleaners are kept locked in the home and the closet that held the cleaners was unlocked. | Poisonous materials shall be kept locked or made inaccessible to individuals. | 1. The cleaning closet was locked at the time of inspection. |
12/09/2022
| Implemented |
| 6400.62(d) | There were Kool-Aid juice boxes stored in a closet with household cleaners. | Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. | 1. The Kool-Aid was removed from the cleaning closet. |
12/09/2022
| Implemented |
| 6400.112(f) | The fire drill did not have alternate routes used for the entire year (only the front door used). | Alternate exit routes shall be used during fire drills. | 6. The Program Supervisor and Program Director are responsible to ensure that monthly fire drills occur and meet regulation. If a fire drill does not meet regulation a new drill is to occur. |
12/09/2022
| Implemented |
| 6400.181(e)(5) | The assessment doesn't indicate whether or not the Individual #5 is able to self-medicate. | The assessment must include the following information: The individual's ability to self-administer medications. | 1. Individual #5¿s assessment was amended to include her ability to self-administer medications and was sent to the team. |
12/09/2022
| Implemented |