| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.106 | The furnace inspections provided were completed on 5.30.24, and not again until 9.30.25. This exceeds the annual time frame. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| The furnace inspection was completed for the. year 2025 and will be completed for 2026 prior to 9.30.26 to meet the annual time frame. |
11/01/2025
| Implemented |
| 6400.52(c)(1) | Staff #1 did not have annual training on person centered practices, community integration, individual choice, and supporting individual to develop and maintain relationships. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | The identified staff has completed these required trainings for 2025. |
11/01/2025
| Implemented |
| 6400.52(c)(3) | Staff #1 did not have annual training on individual rights. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights. | Identified staff has complete this training for 2025. |
11/01/2025
| Implemented |
| 6400.52(c)(4) | Staff #1 did not have annual training on incident reporting. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents. | The identified staff will complete the incident management training provided through MyODP for 2025. |
11/01/2025
| Implemented |