| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The doors on the lower level in the laundry area had debris on them consistent with dust buildup and cobwebs. | Clean and sanitary conditions shall be maintained in the home. | 1. Staff working in the home completed a thorough cleaning of the home and these doors were cleaned. Attachment 18-19 |
11/02/2023
| Implemented |
| 6400.67(a) | There was a substance consistent with mold found on the kitchen cabinet at the sink area. The flooring is also damaged and needs to be replaced. | Floors, walls, ceilings and other surfaces shall be in good repair. | 1. The staff in the home completed a thorough cleaning and removed the substance from the cabinet. Maintenance was employed and the damaged piece of flooring was repaired. Attachment 12 |
11/02/2023
| Implemented |
| 6400.72(b) | The door handles to the area where the washer/dryer were housed, were broken or off the door frame. | Screens, windows and doors shall be in good repair. | 1. The door handles were replaced and are currently operating correctly. Attachment 7 |
11/02/2023
| Implemented |
| 6400.81(k)(6) | No mirror was found in individual #3's bedroom. | In bedrooms, each individual shall have the following: A mirror. | 1. A mirror has been purchased and placed in individual number 3¿s bedroom. Attachment 8 |
11/02/2023
| Implemented |
| 6400.82(f) | There was no trash receptacle in bathroom next to laundry area. | 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. | 1. A trash receptacle has been placed in the bathroom. Attachment 13 |
11/02/2023
| Implemented |
| 6400.110(e) | Smoke alarms on the 2nd and 3rd level are interconnected, the alarm on the 1st level is not interconnected to the other alarms | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | 1. The smoke alarm was replaced and is working order on the 1st level of the home. |
11/02/2023
| Implemented |
| 6400.31(b) | For the padding in individual #3's bedroom, there was nothing found in the record to state this was agreed upon to benefit the individual. | The home shall educate, assist and provide the accommodation necessary for the individual to make choices and understand the individual's rights. | 1. The supports coordinator was contacted to include the need for padding on individual #3¿s bed to ensure his health and safety due to self-injurious behaviors. Attachment 20 |
11/02/2023
| Implemented |