| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Individual #1's Individual Support Plan (ISP) states that at Individual #1's CLA poisonous substances are kept locked up. Individual #1's assessment dated 6/28/25 he is not poison safe, poisonous substances are kept locked. At the time of the inspection, located in the kitchen cabinet above the stove was two spray bottles of Great Value Morning Meadow Scent Disinfectant Spray, and the labels stated to call Poison Control Center. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Manager correct this during inspection. Poisonous materials were locked upon the discovery of spray. |
07/20/2025
| Implemented |
| 6400.62(d) | At the time of the inspection, in the kitchen cabinet located above the stove was a bag of onions, approximately 3 loose onions, and two spray bottles of Great Value Morning Meadow Scent Disinfectant Spray. | Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. | Manager immediate removed the two spray and stored the appropriately. |
07/20/2025
| Implemented |
| 6400.67(a) | The right closet doorknob was missing in Individual #1's bedroom at the time of the inspection. | Floors, walls, ceilings and other surfaces shall be in good repair. | Agency maintenance fixed the knob on 7.20.25 |
07/20/2025
| Implemented |
| 6400.68(b) | The water temperature in the main bathroom's bathtub measured at 132.6 degrees Fahrenheit. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The water temperature was immediately adjusted by manager to ensure it is compliance . |
07/20/2025
| Implemented |
| 6400.71 | Phone numbers to nearest hospitals, police department, fire department, ambulance, and poison control were not located on or near the phone in the 2nd bedroom/office. | 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.
| Manager created a new phone contact list to include the police, ambulance and poison control and hospital and place it by the phone. |
07/20/2025
| Implemented |
| 6400.72(a) | The left window in Individual #1's bedroom did not have a screen in it. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Maintenance replace the screen in individual bedroom on 7.20.25 |
07/20/2025
| Implemented |
| 6400.72(b) | The screen located in the right window in Individual #1's bedroom had multiple tears and rips in it. The screen had approximately 15 tears in it varying in size and shape. | Screens, windows and doors shall be in good repair. | Maintenance replace the screen on 7.20.25 |
07/20/2025
| Implemented |