| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | The closet in the living room area was missing a door or covering, so the contents were in plain view. | Floors, walls, ceilings and other surfaces shall be in good repair. | The closet in the living room now has a curtain so the contents are no longer in plain view. |
10/09/2026
| Implemented |
| 6400.67(b) | The portal air conditioner was plugged into an extension cord. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The extension cord has been removed, and the portable air conditioner is now plugged directly into an appropriate wall outlet in accordance with the manufacturer's instructions. Management inspected the area to ensure the extension cord has been removed and that no related electrical hazards remain. |
09/16/2026
| Implemented |
| 6400.71 | The emergency phone numbers listed a closed hospital and no alternative. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| The emergency contacts list has been reviewed and updated accordingly. Phone number & address of nearest hospital/ER has been updated and posted by each telephone in the home with an outside line. |
10/06/2026
| Implemented |
| 6400.104 | The fire department notification letter did not specify the bedroom where the individual in the home
resides. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| Written notification to the local fire department has been updated to reflect the current composition of the home's occupants and identify the exact location of the bedrooms of individuals who require assistance evacuating in the event of an actual fire. The updated notification includes the home's address and has been submitted to the local fire department. A copy of the updated notification and documentation of submission will be maintained at the home for review. |
10/09/2026
| Implemented |