| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(d) | Clorox and other cleaning supplies were stored together with cases of soda in the room utilized as an office in the home. This was corrected at the time of inspection. | Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. | The direct support staff failed to properly store cleaning products in the home.
On 3/11/26, the house manager had the direct support staff change the location of all cleaning products to store them away from food items. |
03/11/2026
| Implemented |
| 6400.64(a) | The bedroom windowsill located behind the bed in individual #1's bedroom has an accumulation of debris consistent with dust and dirt that requires cleaning. | Clean and sanitary conditions shall be maintained in the home. | Direct Support staff failed to clean the windowsills.
On 3/11/26, the direct support staff cleaned the windowsill removing all dirt and debris. |
03/11/2026
| Implemented |
| 6400.76(a) | The toilet seat in the bathroom is loose and requires tightening. | Furniture and equipment shall be nonhazardous, clean and sturdy. | The house manager filed to notify maintenance of the loose toilet seat.
On 3/11/26, maintenance was notified of the loose toilet seat.
On 3/23/26 maintenance tightened the loose seat. |
03/23/2026
| Implemented |
| 6400.81(k)(6) | individual #1 bedroom is missing a mirror | In bedrooms, each individual shall have the following: A mirror. | The agency failed to provide individual #1 with a mirror.
On 3/15/26 the house manager placed a mirror was placed in individual #1 bedroom. |
03/15/2026
| Implemented |
| 6400.141(a) | Individual #1 was admitted to the program on 8/4/25. The pre-admission physical was completed on 7/10/25. However, the TB test was not completed until 8/7/25 and read negative on 8/9/25, which was after the admission date. | An individual shall have a physical examination within 12 months prior to admission and annually thereafter. | Program Specialist failed to identify pre-admission physical was completed filled out.
On 3/11/26, The program specialist will was retrained on admissions of individuals. |
03/11/2026
| Implemented |
| 6400.216(a) | There were individual records in an unlocked closet in the hallway. This was corrected at the time of inspection. | An individual's records shall be kept locked when unattended.
| The agency failed to place individual records in locked cabinet.
On 3/11/26, the program specialist requested maintenance install a lock on hallway closet door where records are stored.
On 3/23/26, maintenance installed a lock on the hallway closet door where individual records are stored. |
03/23/2026
| Implemented |