| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.110(e) | This four-story home did not have a smoke detector that was interconnected on all floors. The attic and the second-floor smoke detectors were not interconnected with one another. | 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 property manager reviewed the smoke detectors in the home on September 14, 2023 and determined that the entire system needed to be replaced in order to address the interconnective issue. The smoke detector system was replaced on September 18th, 2023 by a contractor. The property manager confirmed that the interconnected system was working properly on September 20th, 2023. |
09/14/2023
| Implemented |
| 6400.194(b) | The Human Rights team credentials was not provided nor documented in the individual's 2 file. | The human rights team shall include a professional who has a recognized degree, certification or license relating to behavioral support, who did not develop the behavior support component of the individual plan. | The Executive Director added the Human Rights Team credentials to Individual 2's behavior plan on September 15th. It was reviewed and signed by all members of the HRT by October 4th, 2023. |
10/04/2023
| Implemented |
| 6400.195(b) | Individual 2. has a behavior support plan which states that food cabinets will be locked during non-meal preparation times, however these cabinets were unlocked during the time of the inspection, and it was not a meal preparation time. | The behavior support component of the individual plan shall be reviewed and revised as necessary by the human rights team, according to the time frame established by the team, not to exceed 6 months between reviews. | The Director of Residence locked the food cabinets in the home of Resident 2 as of the afternoon of September 14, 2023. The Director of Residence sent communication to residential staff to ensure that the food cabinets will be locked according to the current behavior plan. |
09/14/2023
| Implemented |