| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Poisons were left unlocked in a cabinet which is accessible to the individuals. Individual #1, who resides in this home states that in their ISP that they are to have poisons locked in their home. | Poisonous materials shall be kept locked or made inaccessible to individuals. | The plan of correction is train staff on workplace poison prevention annually. On 08/23/21, staff was trained on workplace safety around poison prevention. |
09/13/2021
| Implemented |
| 6400.67(a) | Drawer near kitchen sink is off the track and does not open properly. | Floors, walls, ceilings and other surfaces shall be in good repair. | The plan of correction is making sure the drawer is repair. Staff is trained on how to complete form on reporting broken property. On 08/23/2021, training was completed. |
09/13/2021
| Implemented |
| 6400.77(b) | At the time of inspection, there was no tape observed in the first aid kit. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | The plan of correction is review first aid kit monthly to make sure all contain in the kit. On 08/20/21, the tape was replaced. |
09/13/2021
| Implemented |