| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Individual #1's Service Plan, last updated 1/2/26, states that, "For safety reasons, all [poisonous] products are in a safe and secure area." In addition, Individual #1's current assessment, completed on 8/6/25, provided a score of "1," meaning that Individual #1 requires physical manipulation and assistance throughout the entire process to avoid and use poisons and that poisons are to be locked. At 1:34 PM on 2/2/26, unlocked and accessible underneath the sink in the home's only bathroom were the following poisonous cleaners: a 24 fluid-ounce bottle of Lysol Toilet Bowl Cleaner; a 32 fluid-ounce spray bottle of Clorox Multi-Surface Cleaner with Bleach; and a 32 fluid-ounce spray bottle of Lysol Multi-Surface Cleaner. | Poisonous materials shall be kept locked or made inaccessible to individuals. | On February 2, 2026, all cleaning products were returned to the designated locked storage closet to ensure safe and secure storage. |
02/11/2026
| Implemented |
| 6400.105 | At 1:43 PM on 2/2/26, the dryer filter vent trap was covered in its entirety with a thick layer of dust, lint, and other fabric particles that posed combustible material conditions. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.
| On February 2, 2026, the dryer vent was thoroughly cleaned to eliminate lint buildup and ensure safe operation. |
02/11/2026
| Implemented |
| 6400.141(c)(11) | Individual #1's date-of-admission is 8/8/25. Individual #1's initial and current physical examination, completed on 3/18/25, did not include an assessment of the individual's health maintenance needs including the need for bloodwork at recommended intervals, as the corresponding field was left blank. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | On 2/3/26, an appointment with the individual's primary care physician (PCP) was scheduled for March 19, 2026, the earliest available date, to receive a physical examination on a compliant form. |
02/03/2026
| Implemented |
| 6400.141(c)(14) | Individual #1's date-of-admission is 8/8/25. Individual #1's initial and current physical examination, completed on 3/18/25, did not include medical information pertinent to diagnosis and treatment in case of an emergency, as the corresponding field was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | An appointment with the individual's primary care physician (PCP) was scheduled for March 19, 2026, the earliest available date, to obtain an updated physical examination. |
02/03/2026
| Implemented |
| 6400.151(c)(2) | Direct Service Worker #1's date-of-hire is 7/25/25. However, Direct Service Worker #1's content of records did not include a completed tuberculosis test with negative results. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | Direct Support Professional (DSP) #1 scheduled an appointment with the physician's office. The TB test was completed on February 11, 2026, with a negative result. |
02/11/2026
| Implemented |