| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | - The microwave handle pulled off, and the top section of the microwave fell down when opened as well.
- Broken Baseboard Heater in the lower-level bathroom. It was both slanted and not fully adhered to the wall and had substantial rust on it.
- The back door of the home did not have a handle. It was still operable, but there needs to be a handle in place. | Floors, walls, ceilings and other surfaces shall be in good repair. | The residential director purchased and had a new microwave, baseboard heater and back doorknob handle replaced. |
02/02/2026
| Implemented |
| 6400.110(e) | Each of the 3 stories in the home had an operable smoke detector, however they were not interconnected. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | The residential director put in a maintenance request for an electrician to interconnect the smoke detectors. |
02/02/2026
| Implemented |
| 6400.111(a) | The home was 3 stories however there was no fire extinguisher in the basement or on the second floor. Additionally, the one fire extinguisher that was present in the home was rated 1-A, and it needs to be a minimum of a 2-A rating. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | The residential director purchased 3 new 2-A rating fire extinguishers for each floor including the basement. |
02/02/2026
| Implemented |
| 6400.112(d) | The fire drills did not document the duration of the evacuation. | Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. | The fire drill log has the evacuation start time and end time. |
02/02/2026
| Implemented |