| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | There was a significant buildup of lint in the dryer lint trap. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The lint trap was immediately cleaned on-site during the inspection. All staff were reminded of the importance of cleaning the lint trap after every use to prevent fire hazards and ensure ongoing compliance with health and safety regulations. |
04/15/2025
| Implemented |
| 6400.68(b) | The water temperature in the supported individual's en suite bathroom measured 136°F. Agency staff turned down the water temperature and provided video proof of temperature meeting regulatory standard below 120°F within 24 hours of the inspection. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Clients in the affected room will not use the shower until further notice. Communication will be sent to staff to ensure the client is not exposed to the bathroom with non compliant temperature.
The maintenance man will set the water heater to the appropriate setting and replace the water temperature device to capture an accurate temperature for the individual's en suite bathroom.
The replacement device was purchased immediately after inspection on Wednesday, April 16, 2025. |
04/16/2025
| Implemented |
| 6400.82(e) | There was no nonslip mat in the shower located in the en suite bathroom for the vacant bedroom of the home. | Bathtubs and showers shall have a nonslip surface or mat. | Clients/Staff did not have access to the vacant rooms until the Director of Special Projects placed a non-slip mat in the empty bathroom.
A non-slip mat was purchased for the empty bathroom. (The Director of Special Projects)
A non-slip mat was placed in the empty bathroom. (The Director of Special Projects) |
04/16/2025
| Implemented |
| 6400.82(f) | No soap or paper/cloth towels were present in the en suite bathroom located in the vacant bedroom of the home. | 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. | The Director of Special Projects purchased and placed Bathroom supplies in the vacant en suite bathroom. |
04/16/2025
| Implemented |