| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | A self-assessment was not completed for the home. | 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.
| December 17,2024- The self-assessment was not completed in the correct amount of time which is 3 to 6 months prior to the expiration date of our compliance. We have put on all calendars (electronic and physical) to submit self-inspection in the correct time. |
12/22/2024
| Implemented |
| 6400.64(a) | At the time of the inspection on 12/18/24, there was a jar of mayonnaise that expired on 12/3/24 in the refrigerator of the home. | Clean and sanitary conditions shall be maintained in the home. | The jar of mayonnaise was immediately discarded |
12/20/2024
| Implemented |
| 6400.68(b) | At the time of the inspection on 12/18/24, the water temperature was 127.9 degrees in the bathroom next to the unoccupied bedroom, 124.7 degrees in the bathroom next to the occupied bedroom, and 123 degrees in the kitchen sink. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The water temperature was turned on 12/18/24.The new reading ranges from 103 t0 106. |
12/18/2024
| Implemented |
| 6400.145(1) | The medical plan for Individual #1 did not have the hospital or source of health care that will be used in an emergency. | The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. | December 19, 2024- An updated emergency medical plan is now in place for Individual #1 which asks their preferred hospital and states the nearest hospital and in case of emergency and preferred hospital is not available is the nearest okay to be used. |
12/19/2024
| Implemented |