| 6400.15(a) | The agency did not complete the self-assessment of the home. The documentation provided by the agency was a Self-inspection and Declaration Tool, which only addresses physical site regulations and does not address all 6400 regulations. The Self-Inspection and Declaration Tool was dated for 1/5/2025, which is not 3-6 months prior to the expiration date of the agency's Certificate of Compliance. The agency's current Certificate of Compliance expires 2/11/2025. | 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 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 document compliance with all 6400 regulations. |
01/22/2025
| Implemented |
| 6400.73(a) | On 1/22/2025, at 10:25am, 6 steps on the upper part of the staircase, leading to the second floor did not have a well-secured handrail. On 1/22/2025, at 10:30am, 3 steps on the upper part of the basement staircase did not have a well-secured handrail. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | 01/26/2025 - 6 steps on the upper part of the staircase, leading to the second floor received a well-secured handrail and a picture was email to the department to provide confirmation on that same date.
1/28/2025 - 3 steps on the upper part of the basement staircase received a well-secured handrail and a picture was emailed to the department to provide confirmation on 2/1/2025. |
02/01/2025
| Implemented |